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Jacob Benjamin Gonzalez, LMT
Massage Therapist in Lake Havasu City, Arizona
NPI 1417247172

Jacob Benjamin Gonzalez is a Massage Therapist based in Lake Havasu City, AZ. Jacob Benjamin Gonzalez practices in Lake Havasu City, AZ and has the professional credentials of LMT. The NPI Number for Jacob Benjamin Gonzalez is 1417247172 and holds a License No. MT-13311 (Arizona).

The current practice location address for Jacob Benjamin Gonzalez is 133 Saguaro Dr, Lake Havasu City, AZ and can be reached out via phone at 928-846-7845. You can also correspond with Jacob Benjamin Gonzalez through the mailing address at 133 SAGUARO DR, LAKE HAVASU CITY, AZ - 86403-6657 (mailing address contact number: ).

Location: 133 Saguaro Dr, Lake Havasu City, AZ, 86403-6657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417247172
Provider Name
Jacob Benjamin Gonzalez
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
133 Saguaro Dr, Lake Havasu City, AZ, 86403-6657
Phone Number
928-846-7845
Fax Number
Provider Enumeration Date
04/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
133 Saguaro Dr
City
Lake Havasu City
State
Arizona
Zip
86403-6657
Phone Number
928-846-7845
Fax Number
person
Provider Business Mailing Address Details
Address
133 Saguaro Dr
City
Lake Havasu City
State
Arizona
Zip
86403-6657
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT-13311 (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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