Individual provider · Type 1 NPI

Titiana Shostak-Kinker, L.M.T.

Massage Therapist · Prescott, AZ

NPI number 1346627205 Active

Practice location

1590 Willow Creek Rd
Prescott, AZ 86301-1141

Call (928) 227-1899 Map

Fax (800) 536-1048

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-21408 (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 1346627205

Titiana Shostak-Kinker, L.M.T.'s National Provider Identifier is 1346627205, issued on Apr 29, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 31, 2015.