Jeremiah Kendale Mack - Phoenix, AZ

Jeremiah Kendale Mack

Massage Therapist in Phoenix, Arizona

NPI 1043807324

Jeremiah Kendale Mack is a Massage Therapist based in Phoenix, AZ. Jeremiah Kendale Mack practices in Phoenix, AZ. The NPI Number for Jeremiah Kendale Mack is 1043807324 and holds a License No. MT-25692 (Arizona).

The current practice location address for Jeremiah Kendale Mack is 16410 S 12Th St Apt 213, Phoenix, AZ and can be reached out via phone at 480-765-0367.

Location: 16410 S 12Th St Apt 213, Phoenix, AZ, 85048-4007

NPI Number

1043807324

Provider Name

Jeremiah Kendale Mack

Credential

Provider Entity Type

Individual

Gender

Male

Address

16410 S 12Th St Apt 213, Phoenix, AZ, 85048-4007

Phone Number

480-765-0367

Fax Number

Provider Enumeration Date

12/21/2020

Last Update Date

03/10/2024

Address

16410 S 12Th St Apt 213

City

Phoenix

State

Arizona

Zip

85048-4007

Phone Number

480-765-0367

Fax Number

Address

16410 S 12Th St Apt 213

City

Phoenix

State

Arizona

Zip

85048-4007

Phone Number

480-765-0367

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

MT-25692 (Arizona)

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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