Individual provider · Type 1 NPI

Davonna Marie Willis, ATC, LMT

Massage Therapist · Gilbert, AZ

NPI number 1649712019 Active

Practice location

625 N Gilbert Rd, Suite 103
Gilbert, AZ 85234-3398

Call (480) 779-0744 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Massage Therapist Primary 225700000XMT-12710 (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 1649712019

Davonna Marie Willis, ATC, LMT's National Provider Identifier is 1649712019, issued on Nov 16, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gilbert, AZ. The record was last updated on Nov 16, 2016.