TARA ELLAN KEMNITZ

GILBERT, AZ
NPI1215325774
Former NameTARA ELLAN BIVENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: AZ  #MT-20238)
Enumeration Date2015-01-06
Last Update Date2015-01-06
Business Address
-- TARA ELLAN KEMNITZ LMT
1467 W ELLIOT RD STE 103
GILBERT, AZ 85233-5167
Phone number: 503-701-1039
Mailing Address
-- TARA ELLAN KEMNITZ LMT
11336 E ROSCOE AVE
MESA, AZ 85212-4125
Phone number: 503-701-1039