Individual
MS. CAROL K DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
9601 W TIMBERLINE DR, SUN CITY, AZ 85351-2922
(623) 876-8587
Mailing address
9601 W TIMBERLINE DR, SUN CITY, AZ 85351-2922
(623) 876-8587
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT-2611P
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-02611P
ARIZONA MASSAGE THERAPY L
AZ
Enumeration date
07/13/2007
Last updated
07/13/2007
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