Individual
TARA CHRISTINA TECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TAIJIFIT INSTRUCTOR
Contact information
Practice address
546 6TH ST, PRESCOTT, AZ 86301-2014
(928) 582-1469
Mailing address
2710 AUSTIN RD, PRESCOTT, AZ 86301-4341
(928) 582-1469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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