Tara Valdez, L.M.T.

NPI #1306200449 in Fairdale, Kentucky

Provider Information

NPI Number: 1306200449
Entity Type: Individual
Name: Tara Valdez, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Apr 5, 2016
Last Updated: Apr 5, 2016

Practice Location

Address: 10701 W MANSLICK RD
City: Fairdale
State: Kentucky
ZIP Code: 40118-9581
Phone: (502) 367-2112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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