Individual
CHASIDY MIKKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2925 E INVERNESS AVE, MESA, AZ 85204-7208
(602) 348-1888
Mailing address
2925 E INVERNESS AVE, MESA, AZ 85204-7208
(602) 348-1888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29390
AZ
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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