Individual
THERESA LEIGH TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T
Contact information
Practice address
456 PAGOSA ST, PAGOSA SPRINGS, CO 81147
(970) 946-2513
Mailing address
1001 CATCHPOLE DR, PAGOSA SPRINGS, CO 81147-7820
(970) 946-2513
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
422
CO
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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