Individual
MS. JENNIFER RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4553 CANYON LOOP, FLAGSTAFF, AZ 86001-3729
(928) 606-9259
Mailing address
4553 CANYON LOOP, FLAGSTAFF, AZ 86001-3729
(928) 606-9259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-08165
AZ
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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