Individual provider · Type 1 NPI
Jesse Ferrell, LMT
Massage Therapist · Phoenix, AZ
NPI number
1043585565
Active
Practice location
4700 N Central Ave, Suite 116
Phoenix, AZ 85012-1719
Mailing address
44 W Monroe St, # 1401
Phoenix, AZ 85003-4553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-04127P (AZ) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1043585565
Jesse Ferrell, LMT's National Provider Identifier is 1043585565, issued on Mar 16, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 16, 2012.