Individual
CHELISE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 W GROVE PKWY, 1014, TEMPE, AZ 85283-4435
(602) 810-4820
Mailing address
1250 W GROVE PKWY, 1014, TEMPE, AZ 85283-4435
(602) 810-4820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-18825
AZ
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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