Healthcare Provider Details

I. General information

NPI: 1134043128
Provider Name (Legal Business Name): ROSA CADENA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 E JEROME AVE
MESA AZ
85204-6938
US

IV. Provider business mailing address

2051 E JEROME AVE
MESA AZ
85204-6938
US

V. Phone/Fax

Practice location:
  • Phone: 602-481-1385
  • Fax:
Mailing address:
  • Phone: 602-481-1385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-02282P
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: