MEDICARE: OFELIA CASTRO FLORES

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
1	225700000X	Massage Therapist	MT-21244	AZ

General Provider Information

NPI Number	:	1225604317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OFELIA CASTRO FLORES

Provider Business Mailing Address
First Line	:	16408 N 24TH PL UNIT 2
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2998
Country	:	US
Telephone Number	:	480-925-9922
Fax Number	:

Provider Business Practice Location Address
First Line	:	4716 E THUNDERBIRD RD STE 154
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-5541
Country	:	US
Telephone Number	:	480-925-9922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2021
Last Update Date	:	05/31/2021

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Directions to “ OFELIA CASTRO FLORES ” Practice Location

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