Individual
JACQUELINE THEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51199 W FRESNO RD, MARICOPA, AZ 85139-7616
(360) 951-2497
Mailing address
51199 W FRESNO RD, MARICOPA, AZ 85139-7616
(360) 951-2497
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60423642
WA
225700000X
Massage Therapist
Primary
MT24112
AZ
Other
Enumeration date
11/25/2013
Last updated
03/05/2019
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