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Brook Tarrant

Massage Therapist in San Anselmo, CA. Individual provider (NPI-1).

NPI number1497465264
StatusActive
Last updated in NPPESDec 1, 2022

Details

NPI
1497465264
Entity type
Individual (NPI-1)
Name
Brook Tarrant
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 1, 2022
Certification date
Dec 1, 2022
Last updated
Dec 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist11122CAYes

Practice location

130 Greenfield Ave Ste C
San Anselmo, CA 94960-2451

Phone 707-529-7453

Mailing address

137 Vine St
San Carlos, CA 94070-2007

Phone 707-529-7453

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