TARA SISTRUNK LMT NPI 1205501079

NPI Information

NPI: 1205501079
Provider Name: TARA SISTRUNK, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
3900 E 16TH AVE
POST FALLS, ID
ZIP 83854
Phone: (208) 996-1177
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Tara Sistrunk, LMT is a massage therapist in Post Falls, ID. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Tara Sistrunk, LMT NPI is 1205501079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3900 E 16TH AVE
POST FALLS, ID
ZIP 83854-925
Phone: (208) 996-1177
Fax: (208) 694-1423

The enumeration date for this NPI number is 8/12/2021 and was last updated on 8/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MAS-4445	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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