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Organization

FLUID MOVEMENT BODYWORKS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA PACKARD LMT (OWNER/MANAGER)
(928) 925-0243
Entity
Organization

Contact information

Practice address
1713 PINE WOODS RD, PRESCOTT, AZ 86305-2231
(928) 925-0243
Mailing address
1713 PINE WOODS RD, PRESCOTT, AZ 86305-2231
(928) 925-0243

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT04768P
AZ

Other

Enumeration date
05/05/2015
Last updated
05/05/2015
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