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Logan David Dehamer
Massage Therapist in Prescott, Arizona
NPI 1972219012

Logan David Dehamer is a Massage Therapist based in Chino Valley, AZ. Logan David Dehamer practices in Prescott, AZ. The NPI Number for Logan David Dehamer is 1972219012 and holds a License No. MT-28584 (Arizona).

The current practice location address for Logan David Dehamer is 1590 Willow Creek Rd, Prescott, AZ and can be reached out via phone at 928-227-1899.

Location: 1590 Willow Creek Rd, Prescott, AZ, 86323-8155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972219012
Provider Name
Logan David Dehamer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1590 Willow Creek Rd, Prescott, AZ, 86323-8155
Phone Number
928-227-1899
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1590 Willow Creek Rd
City
Prescott
State
Arizona
Zip
86301-1164
Phone Number
928-227-1899
Fax Number
person
Provider Business Mailing Address Details
Address
1590 Willow Creek Rd
City
Prescott
State
Arizona
Zip
86301-1164
Phone Number
928-227-1899
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-28584 (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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