Individual
LISA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W QUEEN CREEK RD APT 2044, CHANDLER, AZ 85248-3313
(480) 238-4905
Mailing address
800 W QUEEN CREEK RD APT 2044, CHANDLER, AZ 85248-3313
(480) 238-4905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT -09484
AZ
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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