Individual
VIVA STEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 E GREENWAY PKWY STE 200, PHOENIX, AZ 85032-4369
(602) 718-2571
Mailing address
125 N 2ND ST STE 110, PHOENIX, AZ 85004-2427
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25852
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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