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NPI Code Detail

MEDICARE: THERAPY GROUP OF TUCSON, LLC

MEDICARE: THERAPY GROUP OF TUCSON, LLC
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
1103K00000XBehavior Analyst
2103T00000XPsychologist
32080P0006XDevelopmental - Behavioral Pediatrics Physician
4261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1639322134
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPY GROUP OF TUCSON, LLC
Provider Business Mailing Address
First Line : 5700 E PIMA ST
Second Line :
City : TUCSON
State : AZ
Zip : 85712-5601
Country : US
Telephone Number : 602-808-9912
Fax Number : 520-232-2553
Provider Business Practice Location Address
First Line : 5700 E PIMA ST STE G
Second Line :
City : TUCSON
State : AZ
Zip : 85712-5638
Country : US
Telephone Number : 520-232-2021
Fax Number : 520-232-2553
Authorized Official
Title or Position : CEO
Name : JAXSON MYERS
Credential :
Telephone Number : 602-609-3777
Provider Enumeration Date : 10/28/2008
Last Update Date : 06/05/2026

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