Individual
JASON ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1731 W BASELINE RD STE 111, MESA, AZ 85202-5782
(480) 775-6733
Mailing address
850 S RIVER DR UNIT 1012, TEMPE, AZ 85281-4657
(480) 326-5996
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-11989
AZ
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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