Healthcare Provider Details

I. General information

NPI: 1689272734
Provider Name (Legal Business Name): TRICIA J MILONAS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 W CAMINO DEL SOL STE 160
SUN CITY WEST AZ
85375-4770
US

IV. Provider business mailing address

15027 W BELL RD STE 100
SURPRISE AZ
85374-3256
US

V. Phone/Fax

Practice location:
  • Phone: 602-803-9947
  • Fax: 480-566-9632
Mailing address:
  • Phone: 623-215-4107
  • Fax: 623-215-7453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-10987
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: