Individual
RUTH STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 GARDEN ST, PRESCOTT, AZ 86305-2913
(928) 237-4116
(928) 759-2612
Mailing address
119 GARDEN ST, PRESCOTT, AZ 86305-2913
(928) 237-4116
(928) 759-2612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04906P
AZ
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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