Individual
DUSTIN J DITMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15170 N HAYDEN RD STE 6B, SCOTTSDALE, AZ 85260-2571
(602) 805-4877
Mailing address
15170 N HAYDEN RD STE 6B, SCOTTSDALE, AZ 85260-2571
(602) 805-4877
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-28915
AZ
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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