Individual
MS. KRISTI M TYNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2030 N CAMINO SERNA STE 118, TUCSON, AZ 85715-4061
(520) 369-2389
Mailing address
10409 E CAMINO TESOTE, TUCSON, AZ 85749-9471
(520) 369-2389
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
LAC-011975
AZ
225700000X
Massage Therapist
Primary
MT-24768
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC-011975
NCCAOM
AZ
Enumeration date
06/15/2018
Last updated
10/01/2024
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