Tara Libsack

NPI #1093124885 in Yakima, Washington

Provider Information

NPI Number: 1093124885
Entity Type: Individual
Name: Tara Libsack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 6, 2014
Last Updated: Aug 6, 2014

Practice Location

Address: 1508 S 36TH AVE
City: Yakima
State: Washington
ZIP Code: 98902-4859
Phone: (509) 248-0301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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