Organization
LIVING YOUNGER MOVMENT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LAMB BS, LMT (OWNER)
(602) 821-5008
Entity
Organization
Contact information
Practice address
215 S POWER RD, MESA, AZ 85206-5235
(602) 821-5008
Mailing address
508 N MERRILL RD, MESA, AZ 85207-2423
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
8439
AZ
111NR0400X
Rehabilitation Chiropractor
Primary
8479
AZ
225700000X
Massage Therapist
MT20939
AZ
225700000X
Massage Therapist
MT20953
AZ
Other
Enumeration date
11/02/2015
Last updated
03/03/2016
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