MEDICARE: MARJORIE TODD

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-50219	AZ

General Provider Information

NPI Number	:	1811887979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE TODD

Provider Business Mailing Address
First Line	:	4750 S GOLDENROD DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-4104
Country	:	US
Telephone Number	:	503-200-8261
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 S GOLDENROD DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-4104
Country	:	US
Telephone Number	:	503-200-8261
Fax Number	:

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

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

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Directions to “ MARJORIE TODD ” Practice Location

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