Healthcare Provider Details

I. General information

NPI: 1720992761
Provider Name (Legal Business Name): VITA DEL SOLE AZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST STE R
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

11 TIMBERLINE RD
MILLIS MA
02054-1148
US

V. Phone/Fax

Practice location:
  • Phone: 480-876-2252
  • Fax:
Mailing address:
  • Phone: 480-876-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MATTHEW ANTHONY SAITTA
Title or Position: OWNER
Credential: LMT
Phone: 480-876-2252