Ferrell, Jesse

Ferrell, Jesse is an sole proprietor health care provider with primary practice located at 4700 N Central Ave Suite 116, Phoenix AZ 85012-1719. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Ferrell, Jesse can be contacted via phone (602) 573-1309.

Contact Information

Primary practice address
4700 N Central Ave Suite 116 Phoenix AZ 85012-1719
Phone: (602) 573-1309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT-04127P Arizona

Profile Details

NPI number 1043585565
LBN Legal business name Ferrell, Jesse
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2012
Last updated Mar 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043585565 NPPES
Arizona Other MTY-04127P MASSAGE THERAPY LICENSE

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