Individual provider · Type 1 NPI

Maryann Tidwell, LMT

Massage Therapist · Chandler, AZ

NPI number 1396046306 Active

Practice location

930 W Warner Rd, Suite 32
Chandler, AZ 85225-1040

Call (602) 743-4263 Map

Mailing address

2104 N Los Altos Dr
Chandler, AZ 85224-2135

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10661 (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 1396046306

Maryann Tidwell, LMT's National Provider Identifier is 1396046306, issued on Nov 7, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chandler, AZ. The record was last updated on Dec 2, 2010.