Individual
CANDI WITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 277-8715
Mailing address
4801 N ARNOLD DR, PRESCOTT VALLEY, AZ 86314-6161
(602) 695-0064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-25938
AZ
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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