Doctor Name: | TALITHA EKAMA |
NPI Number: | 1679939094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CMTPT, ANMT, LMT |
License Number: | 42549 |
Business Practice Address: | 115 W 6th St Suite 116 Tempe, AZ - 852813715 |
Business Phone Number: | 3236862668 |
Business Fax Number: | |
Mailing Address: | 5104 E Van Buren St, Apt 1151 PHOENIX |
State: | AZ |
Postal Code: | 850087013 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 42549 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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. |