Individual
MRS. TARISSA FEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
420 BREEZE ST, CRAIG, CO 81625-2620
(970) 629-1992
Mailing address
982 LANGFORD DR, CRAIG, CO 81625-1542
(970) 629-1992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0002023
CO
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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