MEDICARE: KATHRYN LEE FRAZEE 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
1	225700000X	Massage Therapist	MT-18633	AZ

General Provider Information

NPI Number	:	1073327052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN LEE FRAZEE LMT

Provider Business Mailing Address
First Line	:	7493 N ORACLE RD STE 123
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6328
Country	:	US
Telephone Number	:	520-308-4665
Fax Number	:

Provider Business Practice Location Address
First Line	:	7493 N ORACLE RD STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-6328
Country	:	US
Telephone Number	:	520-308-4665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2025
Last Update Date	:	02/01/2025

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