Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA SISTRUNK, LMT
Active Sole ProprietorTARA SISTRUNK, LMT is a Massage Therapist healthcare provider located in POST FALLS, Idaho. NPI 1205501079 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · POST FALLS, ID
Registration Details
- NPI Number
- 1205501079
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2021 (5.0118814882232 yrs)
- Last Updated
- Aug 12, 2021
- License
-
MAS-4445 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3900 E 16TH AVEPOST FALLS, ID, 838548925Browse ID providers · Browse ZIP 83854
- Phone
- 2089961177
- Fax
- 2086941423
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in POST FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| THERESA M FOSTER | MP | 1063503456 |
| MRS. ASHLEY ANNE BURT | LMT | 1588812911 |
| FRANK C ALLEN | LMP | 1871881987 |
| JOHNNIE THOMAS | — | 1265716807 |
| MS. SHANNON L LEE | LMP | 1316286859 |
| SONJA HURT | — | 1255766085 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.