| Mr Jose Lara Iii, LMT | |
|
436 E Bradstock Way, San Tan Valley, AZ 85140-5773 | |
| (480) 244-5128 | |
| Not Available |
| Full Name | Mr Jose Lara Iii |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 436 E Bradstock Way, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356779607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT18417 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jose Lara Iii, LMT 436 E Bradstock Way, San Tan Valley, AZ 85140-5773 Ph: (480) 244-5128 | Mr Jose Lara Iii, LMT 436 E Bradstock Way, San Tan Valley, AZ 85140-5773 Ph: (480) 244-5128 |
Mr. Virgil Glenn Agriam, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 W Combs Rd, San Tan Valley, AZ 85140 Phone: 480-816-7446 | |
Tara Lynn Sturdavant, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 28576 N Ametrine Way, San Tan Valley, AZ 85143 Phone: 616-780-9642 | |
Mrs. Michelle M Santos, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 W White Oak Ave, San Tan Valley, AZ 85140 Phone: 480-432-0200 | |
Nevra Lorraine Moreno, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4406 E Shetland Dr, San Tan Valley, AZ 85140 Phone: 602-641-1190 | |
Lavince Cooper, LMT. CMMP. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 35285 N Karan Swiss Cir, San Tan Valley, AZ 85143 Phone: 480-299-1194 Fax: 480-882-9036 |