Doctor Name: | TARA BAUMAN |
NPI Number: | 1457642498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 0019009668 |
Business Practice Address: | 803 W Broad St Suite 740 Falls Church, VA - 220463130 |
Business Phone Number: | 5712889443 |
Business Fax Number: | |
Mailing Address: | 803 W Broad St, Suite 740 FALLS CHURCH |
State: | VA |
Postal Code: | 220463130 |
Phone Number: | 5712889443 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2011 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0019009668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |