Healthcare Provider Details

I. General information

NPI: 1780502476
Provider Name (Legal Business Name): TWISTED THERAPEUTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19826 W FLOWER ST
BUCKEYE AZ
85396-3000
US

IV. Provider business mailing address

19826 W FLOWER ST
BUCKEYE AZ
85396-3000
US

V. Phone/Fax

Practice location:
  • Phone: 602-388-8912
  • Fax:
Mailing address:
  • Phone: 602-388-8912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BLAKE SCOTT
Title or Position: OWNER
Credential: LMT, MMP
Phone: 602-881-9162