Doctor Name: | JOSE MANUEL MIRANDA |
NPI Number: | 1518241074 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MT |
License Number: | MT-01325P |
Business Practice Address: | 15920 S Rancho Sahuarita Blvd Suite 160 Sahuarita, AZ - 856298012 |
Business Phone Number: | 5208678064 |
Business Fax Number: | 5208678063 |
Mailing Address: | 15920 S Rancho Sahuarita Blvd, Suite 160 SAHUARITA |
State: | AZ |
Postal Code: | 856298012 |
Phone Number: | 5208678064 |
Fax Number: | 5208678063 |
NPI Enumeration Date: | 10/03/2011 |
NPI Last Update Date: | 10/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT-01325P |
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. |