Organization
QUIET RIVER MASSAGE & BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY HELEN COREY LMT NCMT (MANUAL THERAPIST)
(928) 273-6897
Entity
Organization
Contact information
Practice address
132 N WASHINGTON AVE, PRESCOTT, AZ 86301-3206
(928) 273-6897
Mailing address
132 N WASHINGTON AVE, PRESCOTT, AZ 86301-3206
(928) 273-6897
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MT-11435
AZ
302R00000X
Health Maintenance Organization
MT-11435
AZ
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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