Individual provider · Type 1 NPI

Angelito Mandolado, LMT

Massage Therapist · Phoenix, AZ

NPI number 1063889301 Active

Practice location

1641 E Osborn Rd Ste 6
Phoenix, AZ 85016-7146

Call (602) 265-1774 Map

Fax (602) 265-1738

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-16283 (AZ)

Massage Therapist: 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.

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About NPI 1063889301

Angelito Mandolado, LMT's National Provider Identifier is 1063889301, issued on Aug 21, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 21, 2015.