Individual
KATHLEEN MECHELLE DAVIS
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
PO BOX 1196, DEWEY, AZ 86327-1196
(623) 518-8274
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-14865
AZ
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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