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General NPI Number Information
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NPI Number | 1215850102
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Entity Type | Organization
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Legal Business Name | KRAVE THERAPEUTIC MASSAGE, LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 13760 N 93RD AVE STE 105
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City | PEORIA
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State | AZ
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Zip | 85381-4260
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Country | US
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Telephone | 602-402-5402
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Fax |
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Provider Business Mailing Address
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Address Line | 13760 N 93RD AVE STE 105
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City | PEORIA
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State | AZ
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Zip | 85381-4260
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Country | US
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Telephone | 602-402-5402
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL BIGELOW
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Credential | LMT
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Telephone | 602-402-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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