Individual
TYCHELE A HULETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT, CLT, CCST
Contact information
Practice address
183 E WILLIAMS FIELD RD STE E-105, GILBERT, AZ 85295-5222
(480) 282-7124
Mailing address
91 E PALOMINO DR, GILBERT, AZ 85296-2847
(480) 282-7124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-19660
AZ
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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