Individual
MS. DENISE MICHELLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
49 MAIN ST #1164, BISBEE, AZ 85603-8560
(520) 336-8153
Mailing address
1045 W DELLA ST, BISBEE, AZ 85603-6423
(520) 336-8159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT16206
AZ
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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