Desirae Tabor-Bannister
NPI #1174413942 in Stafford Springs, Connecticut
Provider Information
- NPI Number
- 1174413942
- Entity Type
- Individual
- Name
- Desirae Tabor-Bannister
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jul 3, 2025
- Last Updated
- Jul 3, 2025
Practice Location
- Address
- 7 COLBURN RD
- City
- Stafford Springs
- State
- Connecticut
- ZIP Code
- 06076-3412
- Phone
- (860) 458-8361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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