Individual provider · Type 1 NPI

Charles George King Jr., LMT

Massage Therapist · Phoenix, AZ

NPI number 1700425949 Active

Practice location

6223 N 20th Dr
Phoenix, AZ 85015-1516

Call (480) 518-2090 Map

Fax (855) 518-2090

Mailing address

3905 N 7th Ave Unit 34965
Phoenix, AZ 85013-3368

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-09329 (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 1700425949

Charles George King Jr., LMT's National Provider Identifier is 1700425949, issued on Jan 6, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 6, 2020.