Tad D Childers, | |
2310 S Prairie Ave, Pueblo, CO 81005-4801 | |
(719) 406-3210 | |
Not Available |
Full Name | Tad D Childers |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 2310 S Prairie Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083987762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 6794 (Colorado) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tad D Childers, 1041 Cypress St, Pueblo, CO 81004-2503 Ph: (719) 406-3210 | Tad D Childers, 2310 S Prairie Ave, Pueblo, CO 81005-4801 Ph: (719) 406-3210 |
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