Individual
TAMMY J ROECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8279 W LAKE PLEASANT PKWY SUITE 106, PEORIA, AZ 85382-5125
(602) 697-6463
Mailing address
10364 W. COUNTRY CLUB TRAIL, PEORIA, AZ 85383
(602) 697-6463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
CERTIFIED DOULA
AZ
174H00000X
Health Educator
CERTIFIED CBE
AZ
225700000X
Massage Therapist
Primary
MT-04599P
AZ
Other
Enumeration date
03/03/2008
Last updated
06/26/2023
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