NPI 1093031965

Jason Robles, LMT

Practitioner Massage Therapist Mesa, AZ

Practice location

Address: 1731 W Baseline Rd STE 111, Mesa, AZ 85202-5782
Phone: (480) 775-6733
Mailing address: 850 S River Dr Unit 1012, Tempe, AZ 85281-4657

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT-11989 (AZ)

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Registry record

NPI: 1093031965
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2010
Record last updated: 15 Apr 2010

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.