Organization
AZ MASSAGE SPA
Active
Other names
Jesse James Body Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE FERRELL (OWNER/LMT)
(602) 573-1309
Entity
Organization
Contact information
Practice address
44 W MONROE ST, APT 1401, PHOENIX, AZ 85003-4553
(602) 573-1309
Mailing address
44 W MONROE ST, APT 1401, PHOENIX, AZ 85003-4553
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04127P
AZ
Other
Enumeration date
04/04/2013
Last updated
08/20/2013
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