Tara Sistrunk, LMT

NPI #1205501079 in Post Falls, Idaho

Provider Information

NPI Number: 1205501079
Entity Type: Individual
Name: Tara Sistrunk, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 12, 2021
Last Updated: Aug 12, 2021

Practice Location

Address: 3900 E 16TH AVE
City: Post Falls
State: Idaho
ZIP Code: 83854-8925
Phone: (208) 996-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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