Individual provider · Type 1 NPI

Brooke Theriault

Massage Therapist · Flagstaff, AZ

NPI number 1144824137 Active

Practice location

1585 S Plaza Way Ste 150
Flagstaff, AZ 86001-7156

Mailing address

8025 N US Highway 89 Lot 3
Flagstaff, AZ 86004-1209

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-24171 (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 1144824137

Brooke Theriault's National Provider Identifier is 1144824137, issued on Nov 30, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Flagstaff, AZ. The record was last updated on Nov 30, 2020.