Individual
TAYLOR JOSEPH MECHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3820 JACKSON BLVD STE 4, RAPID CITY, SD 57702-3249
(605) 646-3743
Mailing address
3820 JACKSON BLVD STE 4, RAPID CITY, SD 57702-3249
(605) 646-3743
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT11566
SD
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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