Healthcare Provider Details

I. General information

NPI: 1831908367
Provider Name (Legal Business Name): ORO VALLEY MEDICAL MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9950 N WILD CREEK DR
ORO VALLEY AZ
85742-8400
US

IV. Provider business mailing address

9950 N WILD CREEK DR
ORO VALLEY AZ
85742-8400
US

V. Phone/Fax

Practice location:
  • Phone: 520-403-0025
  • Fax:
Mailing address:
  • Phone: 520-403-0025
  • 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: BRANDY C PATTERSON
Title or Position: OWNER/MASSAGE THERAPISTS
Credential:
Phone: 520-403-0025