Individual provider · Type 1 NPI

Ditina Jade Frederick, LMT, CHT, RM

Specialist · Scottsdale, AZ

NPI number 1376789693 Active

Practice location

6730 E Mcdowell Rd Ste 139
Scottsdale, AZ 85257-3135

Other practice locations

  • 4408 N 35th St, Phoenix, AZ 85018-3936 · (623) 451-4142

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMT-07881 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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About NPI 1376789693

Ditina Jade Frederick, LMT, CHT, RM's National Provider Identifier is 1376789693, issued on Dec 17, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Scottsdale, AZ. The record was last updated on Apr 9, 2020.