Individual provider · Type 1 NPI
Tara Childers, LMT
Massage Therapist · Bloomington, MN
NPI number
1467239012
Active
Practice location
7989 Southtown Ctr Ste 110
Bloomington, MN 55431-1323
Mailing address
10225 Clinton Ave S
Bloomington, MN 55420-5335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2201602 (MN) |
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 1467239012
Tara Childers, LMT's National Provider Identifier is 1467239012, issued on Sep 8, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bloomington, MN. The record was last updated on Sep 8, 2023.