Individual
JENNIFER HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-23061
Contact information
Practice address
2651 N INDUSTRIAL WAY STE K, PRESCOTT VALLEY, AZ 86314-3545
(928) 514-3701
Mailing address
12824 E RICO ST, DEWEY, AZ 86327-7134
(928) 514-3701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-23061
AZ
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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