Individual
TERENCE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
509 E TOPEKA DR, PHOENIX, AZ 85024-2223
(602) 750-4707
Mailing address
509 E TOPEKA DR, PHOENIX, AZ 85024-2223
(602) 750-4707
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-04582P
AZ
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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