Healthcare Provider Details

I. General information

NPI: 1629982210
Provider Name (Legal Business Name): BRITTANY P FLEISCHMANN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 E SHEA BLVD STE N
PHOENIX AZ
85028-3360
US

IV. Provider business mailing address

2026 E EVANS DR
PHOENIX AZ
85022-4632
US

V. Phone/Fax

Practice location:
  • Phone: 224-938-2423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-50557
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: