Individual
TYSIE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
391 W DEUCE OF CLUBS STE B, SHOW LOW, AZ 85901-5809
(928) 358-7118
Mailing address
391 W DEUCE OF CLUBS STE B, SHOW LOW, AZ 85901-5809
(928) 358-7118
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-06321
AZ
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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