Organization
HEALTHGAPS, LLC
Active
Other names
Precision Muscle Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENDON M. HALL LMP (PRESIDENT/MEMBER)
(602) 369-0823
Entity
Organization
Contact information
Practice address
4111 EAST VALLEY AUTO DRIVE, SUITE 201, MESA, AZ 85206-4605
(602) 369-0823
Mailing address
2670 S. VOYAGER DR., SUITE 101, GILBERT, AZ 85295-1294
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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