Tara Childers, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2201602 Issued in MN

Practice address

7989 Southtown Ctr Ste 110
Bloomington, MN 55431-1323

Phone

(612) 987-3464

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1467239012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 CLINTON AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205335",
            "telephone_number": "612-987-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7989 SOUTHTOWN CTR STE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311323",
            "telephone_number": "612-987-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "2201602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan H Cherkasky, MD
• Roshni Elizabeth Cherucheril, PA-C
• Madison Jane Chesky
• Mary J. Chiasson, D.O.
• Ashley Noel Childers, CNP
• Pei Chun Chin, ACUPUNCTURIST
• Chirocenter-Bloomington PA
• Chiropractic Advantage, LLC
• Chiropractic in Motion
• Chirozone P.a.

• Massage Therapist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.