Individual
MS. THERESA ELAINE JANECEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CMT
Contact information
Practice address
2606 N. PATTERSON BLVD., FLAGSTAFF, AZ 86004
(928) 779-5515
(928) 527-0812
Mailing address
2606 N. PATTERSON BLVD., FLAGSTAFF, AZ 86004
(928) 779-5515
(928) 527-0812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-05237 STATE OF AZ
AZ
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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