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NPI Code Detail

MEDICARE: DIAZ MUNIZ LMT

MEDICARE: DIAZ MUNIZ LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT-19596AZ

General Provider Information

NPI Number : 1043682859
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAZ MUNIZ LMT
Provider Business Mailing Address
First Line : 7126 N PINNACLE PASS DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86315-3429
Country : US
Telephone Number : 626-659-3020
Fax Number :
Provider Business Practice Location Address
First Line : 8200 E JACQUE DR # 101
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-6172
Country : US
Telephone Number : 928-277-8715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 11/14/2023

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Directions to “ DIAZ MUNIZ LMT” Practice Location

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