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Tammy Cornwell

Massage Therapist in Rapid City, SD. Individual provider (NPI-1).

NPI number1932845708
StatusActive
Last updated in NPPESMay 5, 2022

Details

NPI
1932845708
Entity type
Individual (NPI-1)
Name
Mrs. Tammy Cornwell
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2022
Certification date
May 5, 2022
Last updated
May 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT11664MTYes

Practice location

2525 W Main St Ste 210
Rapid City, SD 57702-2439

Phone 605-399-2273

Mailing address

2525 W Main St Ste 210
Rapid City, SD 57702-2439

Phone 605-399-2273

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