Organization Name: | ARIZONA BODYWORKS & FITNESS LLC |
NPI Number: | 1932416641 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TROY J MARTIN (SOLE MEMBER) |
Mailing Address: | 1000 Ainsworth Dr Ste A230 Prescott |
State: | AZ US |
Postal Code: | 863051683 |
Phone Number: | 9287718190 |
Fax Number: | 9282374430 |
NPI Enumeration Date: | 09/02/2010 |
NPI Last Update Date: | 09/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MT-11913 |
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. |