MEDICARE: MS. DEBORAH BETH RUBENS LMT, CPT

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-13083	AZ

General Provider Information

NPI Number	:	1518452713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH BETH RUBENS LMT, CPT

Provider Business Mailing Address
First Line	:	3217 E 3RD ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-4215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3217 E 3RD ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-4215
Country	:	US
Telephone Number	:	520-247-1192
Fax Number	:

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

Provider Enumeration Date	:	06/29/2018
Last Update Date	:	06/29/2018

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