Individual
DANIEL BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9312 E RAINTREE DR, SCOTTSDALE, AZ 85260-2094
(480) 442-2858
Mailing address
301 W HAZELWOOD ST, PHOENIX, AZ 85013-2722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-23317
ARIZONA MASSAGE LICENCE
AZ
Enumeration date
02/01/2017
Last updated
02/01/2017
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