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NPI Code Detail

MEDICARE: ELISSA HAMBRIGHT

MEDICARE: ELISSA HAMBRIGHT
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-04325PAZ

General Provider Information

NPI Number : 1275812539
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISSA HAMBRIGHT
Provider Business Mailing Address
First Line : 9200 N GHOST RANCH TRL
Second Line :
City : MARANA
State : AZ
Zip : 85653-8056
Country : US
Telephone Number : 520-906-1808
Fax Number :
Provider Business Practice Location Address
First Line : 9200 N GHOST RANCH TRL
Second Line :
City : MARANA
State : AZ
Zip : 85653-8056
Country : US
Telephone Number : 520-906-1808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 08/04/2011

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Directions to “ ELISSA HAMBRIGHT ” Practice Location

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