Individual
JEFFREY ERIK SHIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CPT, RYT
Contact information
Practice address
210 S SUNSET DR, SUITE B1, SEDONA, AZ 86336-5406
(928) 600-2609
Mailing address
210 S SUNSET DR, SUITE B1, SEDONA, AZ 86336-5406
(928) 600-2609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-02903P
AZ
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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