Individual provider · Type 1 NPI

Logan David Dehamer

Massage Therapist · Prescott, AZ

NPI number 1972219012 Active

Practice location

1590 Willow Creek Rd
Prescott, AZ 86301-1164

Call (928) 227-1899 Map

Mailing address

4245 W Thunder Mountain Rd
Chino Valley, AZ 86323-8155

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-28584 (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 1972219012

Logan David Dehamer's National Provider Identifier is 1972219012, issued on Jan 23, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Prescott, AZ. The record was last updated on Jan 23, 2023.