Most Relevant Information
Provider Data
NPI Number: | 1003568932 |
Provider Name: | ERIK RAFAEL KING |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 01/21/2022 |
Last Updated: | 11/16/2023 |
Provider Practice Location
1345 N STEELDUST TRL
DEWEY
AZ
863275120
Practice Location Phone/Fax
Phone: | 6236987722 |
Fax: |
Provider Mailing Location
1345 N STEELDUST TRL
DEWEY
AZ
863275120
Provider Mailing Phone/Fax
Phone: | 6236987722 |
Fax: |