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NPI Code Detail

MEDICARE: CHRISTOPHER ROSS

MEDICARE:   CHRISTOPHER  ROSS
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 Therapist

General Provider Information

NPI Number : 1750147583
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ROSS
Provider Business Mailing Address
First Line : 8049 E JACQUE DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-3722
Country : US
Telephone Number : 928-442-6115
Fax Number :
Provider Business Practice Location Address
First Line : 6546 E 2ND ST STE C
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-3540
Country : US
Telephone Number : 928-442-6115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2024
Last Update Date : 02/28/2024

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Directions to “ CHRISTOPHER ROSS ” Practice Location

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