Individual
SARAH D GANTENBEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7478 E TURTLE BANK DR, KINGMAN, AZ 86401-8343
(615) 305-8780
Mailing address
7478 E TURTLE BANK DR, KINGMAN, AZ 86401-8343
(615) 305-8780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-16834
AZ
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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