Individual
JEREMY THOMAS SCOTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10021 W WILLIAMS ST, TOLLESON, AZ 85353-8327
(623) 695-1581
Mailing address
10021 W WILLIAMS ST, TOLLESON, AZ 85353-8327
(623) 695-1581
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29795
AZ
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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