| Mystic Myrtles Stuff Llc | |
|
1711 N Stockton Hill Rd, Suite A, Kingman, AZ 86401-4673 | |
| (928) 753-3148 | |
| (928) 753-3148 |
| Full Name | Mystic Myrtles Stuff Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 1711 N Stockton Hill Rd, Kingman, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952664898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT04442P (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mystic Myrtles Stuff Llc 1711 N Stockton Hill Rd, Suite A, Kingman, AZ 86401-4673 Ph: (928) 753-3148 | Mystic Myrtles Stuff Llc 1711 N Stockton Hill Rd, Suite A, Kingman, AZ 86401-4673 Ph: (928) 753-3148 |
Gregory Tolentino, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1704 Miami Ave, Kingman, AZ 86401 Phone: 971-716-7867 | |
Taelor Mealey, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 8171 E Brooks Blvd, Kingman, AZ 86401 Phone: 801-458-2879 | |
Michael Anthony Bailey, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 810 Eastern St, Kingman, AZ 86401 Phone: 817-797-2058 | |
Sarah D Gantenbein, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 7478 E Turtle Bank Dr, Kingman, AZ 86401 Phone: 615-305-8780 |