NPI 1437532116

A Natural Massage

Organisation Mechanotherapist Lake Havasu City, AZ

Practice location

Address: 2178 McCulloch Blvd N Suite 12, Lake Havasu City, AZ 86403-6864
Phone: (928) 505-8667
Fax: (928) 505-2300

Authorised official

Name: Jack G Rogerson
Title: Owner
Phone: (928) 505-8667

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 01531 (AZ)

Other Mechanotherapist providers in Arizona →

Registry record

NPI: 1437532116
Entity type: Organization
NPI issued: 30 Jun 2015
Record last updated: 30 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.