Corinne N Depriest, LMT

NPI #1093212714 in Fort Mohave, Arizona

Provider Information

NPI Number: 1093212714
Entity Type: Individual
Name: Corinne N Depriest, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 9, 2018
Last Updated: Apr 9, 2018

Practice Location

Address: 1580 E GRAN CIRCULO
City: Fort Mohave
State: Arizona
ZIP Code: 86426-9233
Phone: (928) 542-6491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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