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MR. GARRETT MICHAEL PENROD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPT

Contact information

Practice address
1941 S PIERPONT DR APT 1076, MESA, AZ 85206-4651
(602) 803-9210
Mailing address
1941 S PIERPONT DR APT 1076, MESA, AZ 85206-4651
(602) 803-9210

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29099
AZ

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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