Jeremiah Kendale Mack is a massage therapist in Phoenix, AZ. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Jeremiah Kendale Mack NPI is 1043807324. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
16410 S 12TH ST APT 213
PHOENIX, AZ
ZIP 85048-007
Phone: (480) 765-0367
The enumeration date for this NPI number is 12/21/2020 and was last updated on 12/21/2020.