Individual
LISA PRESCOTT-HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3952 E ROMA AVE, PHOENIX, AZ 85018-4126
(623) 221-0705
Mailing address
3952 E ROMA AVE, PHOENIX, AZ 85018-4126
(623) 221-0705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28489
AZ
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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