Individual provider · Type 1 NPI

Jose Lara Iii, L.M.T

Massage Therapist · San Tan Valley, AZ

NPI number 1356779607 Active

Practice location

436 E Bradstock Way
San Tan Valley, AZ 85140-5773

Call (480) 244-5128 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT18417 (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 1356779607

Jose Lara Iii, L.M.T's National Provider Identifier is 1356779607, issued on Oct 24, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Oct 24, 2013.