Individual provider · Type 1 NPI

Theresa Elaine Janecek, BA, CMT

Massage Therapist · Flagstaff, AZ

NPI number 1740597582 Active

Practice location

2606 N. Patterson Blvd.
Flagstaff, AZ 86004

Call (928) 779-5515 Map

Fax (928) 527-0812

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-05237 STATE OF AZ (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 1740597582

Theresa Elaine Janecek, BA, CMT's National Provider Identifier is 1740597582, issued on Aug 31, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Flagstaff, AZ. The record was last updated on Aug 31, 2010.