Individual
THEA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
801 W MARYLAND AVE, PHOENIX, AZ 85013-1325
(602) 688-3435
Mailing address
9603 N 5TH ST APT C, PHOENIX, AZ 85020-2084
(602) 688-3435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29996
AZ
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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