Individual
MS. BROOKE FOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
80 ACOMA BLVD S STE 104&106, LAKE HAVASU CITY, AZ 86403-6925
(928) 453-1055
Mailing address
4501 LONDON BRIDGE RD, LAKE HAVASU CITY, AZ 86404-9738
(971) 273-9432
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-27870
AZ
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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