Individual
JODI ROSELIUS-BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4730 W ANNETTE CIR, GLENDALE, AZ 85308-3445
(602) 380-3325
Mailing address
4730 W ANNETTE CIR, GLENDALE, AZ 85308-3445
(602) 380-3325
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04945
AZ
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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