Individual
MR. GARY PAUL OLSEN
Active
Individual
MR. GARY PAUL OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT-08525
AZ
225700000X
Massage Therapist
MT-08525
AZ
Other
Enumeration date
10/08/2009
Last updated
03/17/2018
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