Healthcare Provider Details

I. General information

NPI: 1710881313
Provider Name (Legal Business Name): RED ROCK HEALING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3042 W CALAVAR RD
PHOENIX AZ
85053-5741
US

IV. Provider business mailing address

3042 W CALAVAR RD
PHOENIX AZ
85053-5741
US

V. Phone/Fax

Practice location:
  • Phone: 602-330-5385
  • Fax:
Mailing address:
  • Phone: 602-330-5385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. DANIELLE MARIE FUSELIER
Title or Position: FOUNDER
Credential: LMT,VT, OWNER
Phone: 602-330-5385