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Contact Information

GARY P OLSEN, LMT
2560 E FORT LOWELL RD
TUCSON, AZ85716-1514
 Phone: 520-449-2128
 Fax: 520-207-0712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for GARY P OLSEN · (Male)

NPI Number 1679808760
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 10/08/2009
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # MT-08525
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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