MEDICARE: AR'RECOZELL JAMES

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	10960	NC

General Provider Information

NPI Number	:	1275354771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AR'RECOZELL JAMES

Provider Business Mailing Address
First Line	:	PO BOX 273326
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80527-3326
Country	:	US
Telephone Number	:	970-454-6248
Fax Number	:

Provider Business Practice Location Address
First Line	:	3785 MACGREGOR DOWNS RD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-7410
Country	:	US
Telephone Number	:	252-414-6845
Fax Number	:

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

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	10/18/2024

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