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NPI Code Detail

MEDICARE: TANETTE TURLEY LMT

MEDICARE: TANETTE TURLEY LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT08786AZ

General Provider Information

NPI Number : 1225151855
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANETTE TURLEY LMT
Provider Business Mailing Address
First Line : 3201 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2631
Country : US
Telephone Number : 602-265-1774
Fax Number : 602-265-1738
Provider Business Practice Location Address
First Line : 3201 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2631
Country : US
Telephone Number : 602-265-1774
Fax Number : 602-265-1738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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Directions to “ TANETTE TURLEY LMT” Practice Location

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