Healthcare Provider Details

I. General information

NPI: 1912138975
Provider Name (Legal Business Name): THURAYA ANASTAS CABLE L.AC, DIPL. OM, CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: THURAYA ANASTAS CABLE L.AC, DIPL. OM, CMT

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W GIACONDA WAY STE 105
TUCSON AZ
85704-4350
US

IV. Provider business mailing address

245 RUSSELL ST STE 5
HADLEY MA
01035-9563
US

V. Phone/Fax

Practice location:
  • Phone: 617-863-2312
  • Fax:
Mailing address:
  • Phone: 617-863-2312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number091.0052417
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 12545
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number242589
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number012310
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: