Individual
JUANA MARIA AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1300 S MILTON RD STE 206, FLAGSTAFF, AZ 86001-6398
(928) 774-8407
Mailing address
1300 S MILTON RD, SUITE 206, FLAGSTAFF, AZ 86001
(928) 774-8407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-02843
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-02843
ARIZONA STATE BOARD OF MASSAGE THERAPY
AZ
Enumeration date
10/15/2017
Last updated
07/21/2022
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