NPI 1144401803

Tara a Carroll, LMT

Practitioner Contractor Tallahassee, FL

Practice location

Address: 1950 N Point Blvd 516, Tallahassee, FL 32308-4168
Phone: (850) 878-8999
Mailing address: 1138 E Tennessee St, Tallahassee, FL 32308-6912

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA47562 (FL)

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Registry record

NPI: 1144401803
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2007
Record last updated: 21 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.