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Contact Information

JAQUELINE FONG, LMT
10769 N FRANK LLOYD WRIGHT BLVD STE A110
SCOTTSDALE, AZ85259-2688
 Phone: 602-405-8182
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for JAQUELINE FONG · (Female)

NPI Number 1205581352
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 02/17/2022
Last updated 02/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # MT-09340
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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