MRS. Tara Lynn Ingrum, LMP

NPI #1033283817 in Mt Vernon, Washington

Provider Information

NPI Number
1033283817
Entity Type
Individual
Name
MRS. Tara Lynn Ingrum, LMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
Nov 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
422 N 4TH ST SUITE 104
ZIP Code
98273
Phone
(360) 336-2794

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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