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General NPI Number Information
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NPI Number | 1700607736
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Entity Type | Organization
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Legal Business Name | MOTION BODYWORK, LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 2030 E BROADWAY BLVD STE 15
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City | TUCSON
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State | AZ
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Zip | 85719-5907
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Country | US
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Telephone | 520-257-0530
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 E 17TH ST
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City | TUCSON
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State | AZ
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Zip | 85719-7001
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Country | US
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Telephone | 520-200-1621
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TIFFANY L CROCKETT
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Credential | LMT
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Telephone | 520-257-0530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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