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A Natural Massage

Mechanotherapist in Lake Havasu City, AZ. Organization (NPI-2).

NPI number1437532116
StatusActive
Last updated in NPPESJun 30, 2015

Details

NPI
1437532116
Entity type
Organization (NPI-2)
Legal business name
A Natural Massage
Organization subpart
No
Enumeration date
Jun 30, 2015
Last updated
Jun 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172M00000X Mechanotherapist01531AZYes

Practice location

2178 Mcculloch Blvd N
Suite 12
Lake Havasu City, AZ 86403-6864

Phone 928-505-8667 · Fax 928-505-2300

Mailing address

2178 Mcculloch Blvd N
Suite 12
Lake Havasu City, AZ 86403-6864

Phone 928-505-8667 · Fax 928-505-2300

Authorized official

Jack G Rogerson
Owner
9285058667

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