Individual
TASHA ROSE LUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
(515) 965-1186
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
(515) 965-1186
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
03395
IA
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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