MEDICARE: DOUGLAS TURCIOS

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-25254	AZ

General Provider Information

NPI Number	:	1164018586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS TURCIOS

Provider Business Mailing Address
First Line	:	PO BOX 50653
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85703-1653
Country	:	US
Telephone Number	:	540-717-3974
Fax Number	:

Provider Business Practice Location Address
First Line	:	2070 W FORT LOWELL RD # 26
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-5035
Country	:	US
Telephone Number	:	540-717-3974
Fax Number	:

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

Provider Enumeration Date	:	12/19/2020
Last Update Date	:	12/19/2020

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Directions to “ DOUGLAS TURCIOS ” Practice Location

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