NPI 1477821601

John Fred Levezow, LMT

Practitioner Massage Therapist Bentonville, AR

Practice location

Address: 2212 Oakwood Ave, Bentonville, AR 72712-4029
Phone: (479) 866-9338

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7318 (AR)

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Registry record

NPI: 1477821601
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2011
Record last updated: 2 Dec 2011

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.