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
ZIP Code
94941-2887
Phone
(415) 419-1684

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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