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General NPI Number Information
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NPI Number | 1144088626
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Entity Type | Organization
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Legal Business Name | UNWYND MASSAGE & WELLNESS
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 15262 N 75TH AVE STE 108
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City | PEORIA
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State | AZ
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Zip | 85381-4763
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Country | US
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Telephone | 623-476-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 10308 W WINDSOR BLVD
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City | GLENDALE
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State | AZ
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Zip | 85307-4261
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Country | US
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Telephone | 623-476-4600
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Fax |
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Authorized Official
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Title or Position | LICENSED MASSAGE THERAPIST
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Name | MAYA WILLIAMS
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Credential | LMT
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Telephone | 623-476-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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