Tasha Rose Lutter

NPI #1346548492 in Ankeny, Iowa

Provider Information

NPI Number: 1346548492
Entity Type: Individual
Name: Tasha Rose Lutter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Mar 14, 2011
Last Updated: Mar 14, 2011

Practice Location

Address: 715 SW ANKENY RD
City: Ankeny
State: Iowa
ZIP Code: 50023-9798
Phone: (515) 965-1339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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