SearchIdaho225700000X

Tara Sistrunk, LMT

NPI 1205501079 · on the registry since 2021 · sole proprietor

Practice

Address
3900 E 16th Ave
Post Falls, ID 83854
Phone
(208) 996-1177
Fax
(208) 694-1423
Clinicians at this address
5

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho