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NPI Code Detail

MEDICARE: SUSAN RUNION

MEDICARE: SUSAN RUNION
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 TherapistAZ
2225700000XMassage TherapistAPIM-957526AZ

General Provider Information

NPI Number : 1093431652
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN RUNION
Provider Business Mailing Address
First Line : 2578 TOVAR TRL UNIT 24
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86005-3909
Country : US
Telephone Number : 928-707-9761
Fax Number :
Provider Business Practice Location Address
First Line : 705 N LEROUX ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3225
Country : US
Telephone Number : 415-336-6128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2022
Last Update Date : 10/17/2022

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Directions to “ SUSAN RUNION ” Practice Location

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