Individual
FREDDY KANTHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4200 S ALMA SCHOOL RD, CHANDLER, AZ 85248-4899
(480) 234-9436
(480) 304-9318
Mailing address
4200 S ALMA SCHOOL RD, CHANDLER, AZ 85248-4899
(480) 234-9436
(480) 304-9318
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-15279
AZ
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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