Individual
BRUCE VAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4135 S POWER RD STE 110, MESA, AZ 85212-3625
(623) 326-0545
Mailing address
4202 E BROADWAY RD UNIT 135, MESA, AZ 85206-1067
(623) 326-0545
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24762
AZ
Other
Enumeration date
07/28/2019
Last updated
04/11/2025
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