Individual
TEAL TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
34406 N 27TH DR BLDG 2, PHOENIX, AZ 85085-6082
(623) 266-1700
Mailing address
2605 W DOVE VALLEY RD APT 363, PHOENIX, AZ 85085-5222
(518) 378-7005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT05837
AZ
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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