Individual
TARA PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
325 N AUSTIN DR STE 1, CHANDLER, AZ 85226-2619
(480) 438-8713
Mailing address
325 N AUSTIN DR STE 1, CHANDLER, AZ 85226-2619
(480) 438-8713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13601
AZ
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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