Childers, Tad D

Childers, Tad D is an sole proprietor health care provider with primary practice located at 2310 S Prairie Ave , Pueblo CO 81005-4801. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Childers, Tad D can be contacted via phone (719) 406-3210.

Contact Information

Primary practice address
2310 S Prairie Ave Pueblo CO 81005-4801
Phone: (719) 406-3210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 6794 Colorado

Profile Details

NPI number 1083987762
LBN Legal business name Childers, Tad D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2012
Last updated Mar 11th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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