Individual
KIRSTEN TARDANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 N ROCHEBLAVE ST, NEW ORLEANS, LA 70119-1449
(231) 571-2483
Mailing address
2050 N ROCHEBLAVE ST, NEW ORLEANS, LA 70119-1449
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA9184
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770003663206701
—
LA
Enumeration date
11/30/2020
Last updated
11/30/2020
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