Individual
KELLY MARIE DARGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3104 S DEL RANCHO, MESA, AZ 85212-1889
(480) 415-8532
Mailing address
PO BOX 50191, MESA, AZ 85208-0010
(480) 415-8532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT-2023-0153
NM
225700000X
Massage Therapist
Primary
MT-26671
AZ
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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