Tara L. Roth, CMT

NPI #1083740054 in Rogers, Minnesota

Provider Information

NPI Number
1083740054
Entity Type
Individual
Name
Tara L. Roth, CMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
CMT
Enumeration Date
Feb 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
14365 RIVER CREST DR
City
Rogers
ZIP Code
55374-8914
Phone
(612) 669-0046

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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