Organization
KEYSTONE BODY THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATE HARDCASTLE (OWNER)
(480) 686-8647
Entity
Organization
Contact information
Practice address
1600 W CHANDLER BLVD STE 250, CHANDLER, AZ 85224-6162
(480) 686-8647
Mailing address
1600 W CHANDLER BLVD STE 250, CHANDLER, AZ 85224-6162
(480) 686-8647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-06814
AZ
225700000X
Massage Therapist
MT-17560
AZ
225700000X
Massage Therapist
MT-17566
AZ
225700000X
Massage Therapist
MT-19729
AZ
225700000X
Massage Therapist
MT-22184
AZ
225700000X
Massage Therapist
MT-22573
AZ
225700000X
Massage Therapist
MT-22972
AZ
225700000X
Massage Therapist
MT-23403
AZ
225700000X
Massage Therapist
MT-23770
AZ
225700000X
Massage Therapist
MT-24282
AZ
225700000X
Massage Therapist
MT-24731
AZ
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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