Doctor Name: | MR. DANIEL JEROME SHUMWAY |
NPI Number: | 1336410448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T. |
License Number: | MT-13598 |
Business Practice Address: | 3033 W. Bell Rd Ste 101-a Phoenix, AZ - 85023 |
Business Phone Number: | 6023753333 |
Business Fax Number: | |
Mailing Address: | 2216 W Kristal Way, PHOENIX |
State: | AZ |
Postal Code: | 850275123 |
Phone Number: | 4802051528 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2012 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT-13598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |