NPI 1144627399

Glen Fleming, LMTMMP

Practitioner Massage Therapist Rogers, AR

Practice location

Address: 117 W Champions Blvd STE 16, Rogers, AR 72758-9562
Phone: (479) 685-7788

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8483 (AR)

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Registry record

NPI: 1144627399
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2014
Record last updated: 21 Jul 2022

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.