Individual
SHANE KAPELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 277-8715
Mailing address
3825 N MALAPAI DR, CHINO VALLEY, AZ 86323-4963
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT28712
AZ
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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