Individual
TARA LYNN STURDAVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
28576 N AMETRINE WAY, SAN TAN VALLEY, AZ 85143-6020
(616) 780-9642
Mailing address
28576 N AMETRINE WAY, SAN TAN VALLEY, AZ 85143-6020
(616) 780-9642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25488
AZ
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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