MEDICARE: TARA LYNN STURDAVANT LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT-25488	AZ

General Provider Information

NPI Number	:	1649919481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA LYNN STURDAVANT LMT

Provider Business Mailing Address
First Line	:	28576 N AMETRINE WAY
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-6020
Country	:	US
Telephone Number	:	616-780-9642
Fax Number	:

Provider Business Practice Location Address
First Line	:	28576 N AMETRINE WAY
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-6020
Country	:	US
Telephone Number	:	616-780-9642
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2022
Last Update Date	:	05/31/2022

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1780528711 — BRIGHT HAVEN PSYCHOLOGY PC
Practice Location Address:

12000 RIVERSIDE DR UNIT 332
VALLEY VILLAGE, CA
91607-6020

Practice Phone: 747-447-7355
Practice Fax:

1942062658 — VERONIKA ASLANIAN BCHN
Practice Location Address:

6020 E SAPPHIRE LN
PARADISE VALLEY, AZ
85253-2270

Practice Phone: 602-300-6313
Practice Fax:

1144054461 — ALEXANDRA YANG QUACH
Practice Location Address:

444 MARIA AVE
SPRING VALLEY, CA
91977-6020

Practice Phone: 619-551-3589
Practice Fax:

1912848060 — DF WHITFIELD DDS PLLC
Practice Location Address:

22142 SE 237TH ST STE A
MAPLE VALLEY, WA
98038-6020

Practice Phone: 425-432-1292
Practice Fax: 425-432-0192

1205801305 — DR. FRANKLIN T GRAHAM III M.D.
Practice Location Address:

7418 JOHN SMITH , SUITE 218
SAN ANTONIO, TX
78229-6020

Practice Phone: 210-614-0959
Practice Fax:

Directions to “ TARA LYNN STURDAVANT LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.