Individual
PHILLIP MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
710 N BEAVER ST BLDG 3, FLAGSTAFF, AZ 86001-3147
(928) 226-1556
Mailing address
1585 S PLAZA WAY STE 150, FLAGSTAFF, AZ 86001-7156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-27437
AZ
Other
Enumeration date
07/22/2021
Last updated
01/27/2025
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