Individual provider · Type 1 NPI
Suzanne Avantyr, LMT
Massage Therapist · Grand Canyon, AZ
NPI number
1154640753
Active
Practice location
100 State Highway 64
Grand Canyon, AZ 86023
Mailing address
PO Box 1941
Grand Canyon, AZ 86023-1941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA#46073 (FL) |
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.
About NPI 1154640753
Suzanne Avantyr, LMT's National Provider Identifier is 1154640753, issued on May 21, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grand Canyon, AZ. The record was last updated on Dec 19, 2011.