MEDICARE: NIKI BARNES 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
1	225700000X	Massage Therapist	26373	AZ

General Provider Information

NPI Number	:	1780341404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKI BARNES LMT

Provider Business Mailing Address
First Line	:	6398 E KOUFAX LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85756-8427
Country	:	US
Telephone Number	:	520-780-8210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 N TUCSON BLVD STE 120
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3427
Country	:	US
Telephone Number	:	520-780-8210
Fax Number	:

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

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	11/17/2021

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Directions to “ NIKI BARNES LMT” Practice Location

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