Individual provider · Type 1 NPI
Angela Johanna Carrillo, L.M.T
Massage Therapist · Yuma, AZ
NPI number
1720449671
Active
Practice location
281 W 24th Street, Suite 147
Yuma, AZ 85364
Fax (928) 276-4605
Mailing address
281 W 24th St Ste 147
Yuma, AZ 85364-8587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-13175 (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.
Another provider at this address
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About NPI 1720449671
Angela Johanna Carrillo, L.M.T's National Provider Identifier is 1720449671, issued on Mar 18, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yuma, AZ. The record was last updated on Dec 31, 2016.