Individual
TARA TECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TAIJIFIT INSTRUCTOR
Contact information
Practice address
2000 WILLOW CREEK RD, PRESCOTT, AZ 86301-5389
(928) 800-1603
Mailing address
2000 WILLOW CREEK RD, PRESCOTT, AZ 86301-5389
(928) 800-1603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
07/28/2026
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