Tara Faith Brockman, L.AC.

NPI #1144794660 in Boulder, Colorado

Provider Information

NPI Number: 1144794660
Entity Type: Individual
Name: Tara Faith Brockman, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Jan 17, 2019
Last Updated: Jan 17, 2019

Practice Location

Address: 1290 YELLOW PINE AVE
City: Boulder
State: Colorado
ZIP Code: 80304-2264
Phone: (303) 359-3637

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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