Individual
JARED JUSTIN SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4917 E THOMAS RD # E235, PHOENIX, AZ 85018-7864
(480) 395-0139
Mailing address
4917 E THOMAS RD # E235, PHOENIX, AZ 85018-7864
(480) 395-0139
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23086
AZ
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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