Gary Mitchell Van Derveer, LMT - Phoenix, AZ

Gary Mitchell Van Derveer, LMT

Massage Therapist in Phoenix, Arizona

NPI 1528639960

Gary Mitchell Van Derveer is a Massage Therapist based in Phoenix, AZ. Gary Mitchell Van Derveer practices in Phoenix, AZ and has the professional credentials of LMT. The NPI Number for Gary Mitchell Van Derveer is 1528639960 and holds a License No. MT-14602 (Arizona).

The current practice location address for Gary Mitchell Van Derveer is 3935 E Greenway Rd Apt 205, Phoenix, AZ and can be reached out via phone at 602-497-7422.

Location: 3935 E Greenway Rd Apt 205, Phoenix, AZ, 85032-4671

NPI Number

1528639960

Provider Name

Gary Mitchell Van Derveer

Credential

LMT

Provider Entity Type

Individual

Gender

Male

Address

3935 E Greenway Rd Apt 205, Phoenix, AZ, 85032-4671

Phone Number

602-497-7422

Fax Number

Provider Enumeration Date

07/07/2021

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
MT-14602	01	AZ	AZ STATE MASSAGE BOARD

Address

3935 E Greenway Rd Apt 205

City

Phoenix

State

Arizona

Zip

85032-4671

Phone Number

602-497-7422

Fax Number

Address

3935 E Greenway Rd Apt 205

City

Phoenix

State

Arizona

Zip

85032-4671

Phone Number

602-497-7422

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

MT-14602 (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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