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Brookeside Llc
Massage Therapist in Lake Havasu City, Arizona
NPI 1528834207

Brookeside Llc is a Massage Therapist based in Lake Havasu City, AZ. Brookeside Llc practices in Lake Havasu City, AZ. The NPI Number for Brookeside Llc is 1528834207 and holds a License No. (Arizona).

The current practice location address for Brookeside Llc is 80 Acoma Blvd S Ste 104&106, Lake Havasu City, AZ and can be reached out via phone at 928-453-1055.

Location: 80 Acoma Blvd S Ste 104&106, Lake Havasu City, AZ, 86406-6956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528834207
Provider Name
Brookeside Llc
Credential
Provider Entity Type
Organization
Address
80 Acoma Blvd S Ste 104&106, Lake Havasu City, AZ, 86406-6956
Phone Number
928-453-1055
Fax Number
Provider Enumeration Date
12/04/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326770363 05 AZ
institution
Provider Business Practice Location Address Details
Address
80 Acoma Blvd S Ste 104&106
City
Lake Havasu City
State
Arizona
Zip
86403-6925
Phone Number
928-453-1055
Fax Number
person
Provider Business Mailing Address Details
Address
80 Acoma Blvd S Ste 104&106
City
Lake Havasu City
State
Arizona
Zip
86403-6925
Phone Number
928-453-1055
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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