Individual provider · Type 1 NPI

Molly E. Siregar, LMT

Massage Therapist · Prescott, AZ

NPI number 1275429862 Active

Practice location

739 N Walnut St Apt A
Prescott, AZ 86301-1809

Call (928) 277-7492 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X05707 (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 1275429862

Molly E. Siregar, LMT's National Provider Identifier is 1275429862, issued on Jun 18, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Prescott, AZ. The record was last updated on Jun 18, 2025.