John Fred Levezow, LMT

NPI #1477821601 in Bentonville, Arkansas

Provider Information

NPI Number: 1477821601
Entity Type: Individual
Name: John Fred Levezow, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 2, 2011
Last Updated: Dec 2, 2011

Practice Location

Address: 2212 OAKWOOD AVE
City: Bentonville
State: Arkansas
ZIP Code: 72712-4029
Phone: (479) 866-9338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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