Individual
DEVENA D RIEDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1840 E WARNER RD, SUITE 128, TEMPE, AZ 85284-3437
(602) 318-4901
Mailing address
14417 S 41ST WAY, PHOENIX, AZ 85044-6152
(602) 318-4901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-00208P
AZ
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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