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Individual

MR. SPENCER THOMAS WALDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
602 N MAY UNIT 67, MESA, AZ 85201-7505
(260) 273-1970
Mailing address
602 N MAY UNIT 67, MESA, AZ 85201-7505
(260) 273-1970

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-30173
AZ

Other

Enumeration date
09/26/2024
Last updated
09/26/2024
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