Jeremy Thomas Scotten, LMT
Massage Therapist in Tolleson, AZ. Individual provider (NPI-1).
NPI number1619704731
StatusActive
Last updated in NPPESSep 14, 2024
Details
- NPI
- 1619704731
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Thomas Scotten
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2024
- Certification date
- Sep 14, 2024
- Last updated
- Sep 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT-29795 | AZ | Yes |
Practice location
10021 W Williams StTolleson, AZ 85353-8327
Phone 623-695-1581
Mailing address
10021 W Williams StTolleson, AZ 85353-8327
Phone 623-695-1581
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