MEDICARE: MILDRED MARGARET WEEKS LMT, CMMP

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-22060	AZ

General Provider Information

NPI Number	:	1750220497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILDRED MARGARET WEEKS LMT, CMMP

Provider Business Mailing Address
First Line	:	231 W GIACONDA WAY STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-4341
Country	:	US
Telephone Number	:	520-858-0350
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 W GIACONDA WAY STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-4341
Country	:	US
Telephone Number	:	520-858-0350
Fax Number	:

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

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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