Individual provider · Type 1 NPI

Gary Mitchell Van Derveer, LMT

Massage Therapist · Phoenix, AZ

NPI number 1528639960 Active

Practice location

3935 E Greenway Rd Apt 205
Phoenix, AZ 85032-4671

Call (602) 497-7422 Map

Mailing address

Gary M. Van Derveer, 3935 E. Greenway Rd Apt. 205
Phoenix, AZ 85032-4671

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-14602 (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 1528639960

Gary Mitchell Van Derveer, LMT's National Provider Identifier is 1528639960, issued on Jul 7, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 7, 2021.