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NPI Code Detail

MEDICARE: KRISTA M JONES LMT

MEDICARE: KRISTA M JONES LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT-24221AZ

General Provider Information

NPI Number : 1467927608
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA M JONES LMT
Provider Business Mailing Address
First Line : 6440 E BROADWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-3504
Country : US
Telephone Number : 520-881-0827
Fax Number :
Provider Business Practice Location Address
First Line : 6440 E BROADWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85710-3504
Country : US
Telephone Number : 520-881-0827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2018
Last Update Date : 10/03/2018

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Directions to “ KRISTA M JONES LMT” Practice Location

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