Individual provider · Type 1 NPI
Mary Gorby, L.M.T.
Massage Therapist · Phoenix, AZ
NPI number
1417071028
Active
Practice location
10201 N 35th Ave # 101
Phoenix, AZ 85051-9561
Mailing address
9061 N 37th Ave
Phoenix, AZ 85051-3312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-02816P (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 1417071028
Mary Gorby, L.M.T.'s National Provider Identifier is 1417071028, issued on Mar 19, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.