Individual
ISABEL LUISA TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
212 N MAIN ST, CRESTVIEW, FL 32536-3544
(850) 240-8231
Mailing address
1198 BLACKBERRY CIR, BAKER, FL 32531-9366
(850) 240-8231
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100706
FL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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