Doctor Name: | HOLLY REBECCA BUHLER |
NPI Number: | 1396095584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T, M.M.P. |
License Number: | MT-11220 |
Business Practice Address: | 2500 E Southern Ave Mesa, AZ - 852045411 |
Business Phone Number: | 4802989319 |
Business Fax Number: | |
Mailing Address: | 2500 E Southern Ave, MESA |
State: | AZ |
Postal Code: | 852045411 |
Phone Number: | 4802989319 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT-11220 |
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. |