Derek A Tafoya, LMP

NPI #1386943140 in La Center, Washington

Provider Information

NPI Number: 1386943140
Entity Type: Individual
Name: Derek A Tafoya, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Mar 19, 2011
Last Updated: Mar 19, 2011

Practice Location

Address: 7803 NE 332ND ST
City: La Center
State: Washington
ZIP Code: 98629-2721
Phone: (360) 448-8056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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