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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-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.

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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.