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Contact Information

THERESA E JANECEK, BA, CMT
2606 N. PATTERSON BLVD.
FLAGSTAFF, AZ86004
 Phone: 928-779-5515
 Fax: 928-527-0812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for THERESA E JANECEK · (Female)

NPI # 1740597582
Status Active
Credentials BA, CMT
Entity Individual
Enumeration date 08/31/2010
Last updated 08/31/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # MT-05237 STATE OF AZ
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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