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NPI Code Detail

MEDICARE: MICHAEL OVERMAN LMT

MEDICARE:   MICHAEL  OVERMAN  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
1225700000XMassage TherapistMT-28556AZ

General Provider Information

NPI Number : 1639012479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL OVERMAN LMT
Provider Business Mailing Address
First Line : 346 N 78TH PL
Second Line :
City : MESA
State : AZ
Zip : 85207-7577
Country : US
Telephone Number : 915-881-7313
Fax Number :
Provider Business Practice Location Address
First Line : 346 N 78TH PL
Second Line :
City : MESA
State : AZ
Zip : 85207-7577
Country : US
Telephone Number : 915-881-7313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ MICHAEL OVERMAN LMT” Practice Location

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