MR. Larry Tackett
NPI #1053886291 in Mill Valley, California
Provider Information
- NPI Number
- 1053886291
- Entity Type
- Individual
- Name
- MR. Larry Tackett
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Oct 3, 2018
- Last Updated
- Oct 3, 2018
Practice Location
- Address
- 316 MILLER AVE STE F
- City
- Mill Valley
- State
- California
- ZIP Code
- 94941-2887
- Phone
- (415) 419-1684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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