Individual provider · Type 1 NPI

Tara Ellan Kemnitz, LMT

Massage Therapist · Gilbert, AZ

NPI number 1215325774 Active

Practice location

1467 W Elliot Rd Ste 103
Gilbert, AZ 85233-5167

Mailing address

11336 E Roscoe Ave
Mesa, AZ 85212-4125

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X#MT-20238 (AZ)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1215325774

Tara Ellan Kemnitz, LMT's National Provider Identifier is 1215325774, issued on Jan 6, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gilbert, AZ. The record was last updated on Jan 6, 2015.