Individual
BRIAN HAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
11624 E SHEA BLVD, SCOTTSDALE, AZ 85259-5111
(480) 315-8100
Mailing address
3537 E GELDING DR, PHOENIX, AZ 85032-5355
(602) 493-5299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-01026P
AZ
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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