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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY MITCHELL VAN DERVEER, LMT

Active Sole Proprietor

GARY MITCHELL VAN DERVEER, LMT is a Massage Therapist healthcare provider located in PHOENIX, Arizona. NPI 1528639960 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PHOENIX, AZ

Registration Details

NPI Number
1528639960
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2021 (5.1159181015554 yrs)
Last Updated
Jul 7, 2021
License
MT-14602 (AZ)
Sole Proprietor
Yes

Practice Information

Address
3935 E GREENWAY RD APT 205
PHOENIX, AZ, 850324671
Browse AZ providers · Browse ZIP 85032
Phone
6024977422
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in PHOENIX, AZ

Name Credential NPI
MS. JANET SELBY LMT 1568474476
MR. DANIEL REYES LMT 1205848116
MS. MELINDA ANN KEELING LMT 1396757100
MS. JENNIFER ALLEN LMT 1194737577
JESSE JON TROUTMAN LMT 1144315490
MR. REX LEE ROMANS LMT 1376615377
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.