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Tara L. Roth, CMT
Massage Therapist in Rogers, Minnesota
NPI 1083740054

Tara L. Roth is a Massage Therapist based in Rogers, MN. Tara L. Roth practices in Rogers, MN and has the professional credentials of CMT. The NPI Number for Tara L. Roth is 1083740054 and holds a License No. (Minnesota).

The current practice location address for Tara L. Roth is 14365 River Crest Dr, Rogers, MN and can be reached out via phone at 612-669-0046 and via fax at 763-428-8749.

Location: 14365 River Crest Dr, Rogers, MN, 55374-8914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083740054
Provider Name
Tara L. Roth
Credential
CMT
Provider Entity Type
Individual
Gender
Female
Address
14365 River Crest Dr, Rogers, MN, 55374-8914
Phone Number
612-669-0046
Fax Number
763-428-8749
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14365 River Crest Dr
City
Rogers
State
Minnesota
Zip
55374-8914
Phone Number
612-669-0046
Fax Number
763-428-8749
person
Provider Business Mailing Address Details
Address
14365 River Crest Dr
City
Rogers
State
Minnesota
Zip
55374-8914
Phone Number
612-669-0046
Fax Number
763-428-8749
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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