Tara L Bush, LMT Valid NPI

Individual provider · Massage Therapist · Fort Walton Beach, FL

NPI

1326226283

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

MA41462 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2008-02-03

Last updated

2008-02-03