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Individual

MISS REBECCA COLMENARES

Active
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Individual

MISS REBECCA COLMENARES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CLMT

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT-23083
AZ
225700000X
Massage Therapist
MT-23083
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172M00000X
AZ
05
225700000X
AZ
Enumeration date
06/05/2023
Last updated
07/23/2025
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