Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan David Dehamer

Individual provider Massage Therapist · NPI 1972219012

Logan David Dehamer is a Massage Therapist in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023

Practice location Address checks out

1590 Willow Creek Rd
Prescott, AZ 86301-1164
Phone: (928) 227-1899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT-28584 (AZ)

Record details

NPI number1972219012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address4245 W Thunder Mountain Rd, Chino Valley, AZ 86323-8155

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