| NPI | 1245489202 |
|---|---|
| Former Name | TABITHA A. COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: OR AC160117) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 5104) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2021-11-26 |