Organization · Type 2 NPI
Brookeside LLC
Massage Therapist · Lake Havasu City, AZ
NPI number
1528834207
Active
Practice location
80 Acoma Blvd S Ste 104&106
Lake Havasu City, AZ 86403-6925
Mailing address
2827 Saratoga Ave
Lake Havasu City, AZ 86406-6956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
Another provider at this address
About NPI 1528834207
Brookeside LLC's National Provider Identifier is 1528834207, issued on Dec 4, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Dec 4, 2023.