Individual
MR. DANIEL JEROME SHUMWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
3033 W. BELL RD STE 101-A, PHOENIX, AZ 85023
(602) 375-3333
Mailing address
2216 W KRISTAL WAY, PHOENIX, AZ 85027-5123
(480) 205-1528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-13598
AZ
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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