NPI | 1144621988 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY A KLEIMAN Provider 520-323-7060 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: AZ 0623) |
Additional Taxonomies | 171100000X Acupuncturist |
225700000X Massage Therapist (Licence: AZ #MT-18489) | |
225700000X Massage Therapist (Licence: AZ #MT-00211P) | |
225700000X Massage Therapist (Licence: AZ #MT-19959) | |
225700000X Massage Therapist (Licence: AZ #MT-19963) | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2014-09-11 |
Last Update Date | 2020-12-07 |