Provider Demographics
NPI:1922875905
Name:CALLAHAN, TARYN H (CMT)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:H
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E MOSBY RD
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2617
Mailing Address - Country:US
Mailing Address - Phone:540-434-5000
Mailing Address - Fax:
Practice Address - Street 1:70 E MOSBY RD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-2617
Practice Address - Country:US
Practice Address - Phone:540-434-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019013536225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist