Chad Douglas Tanner, BSWAM LMT,CMT

NPI #1407989940 in Hardwick, Vermont

Provider Information

NPI Number: 1407989940
Entity Type: Individual
Name: Chad Douglas Tanner, BSWAM LMT,CMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: BSWAM LMT,CMT
Enumeration Date: Mar 13, 2007
Last Updated: Nov 2, 2011

Practice Location

Address: 4 S MAIN ST
Address 2: HARDWICK INN 3RD FLOOR SUITE 10
City: Hardwick
State: Vermont
ZIP Code: 05843
Phone: (802) 279-3839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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