Individual
LANI MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4111 E VALLEY AUTO DR STE 209, MESA, AZ 85206-4609
(480) 630-9926
Mailing address
4111 E VALLEY AUTO DR STE 209, MESA, AZ 85206-4609
(480) 630-9926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23352
AZ
Other
Enumeration date
04/17/2017
Last updated
02/05/2018
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