MEDICARE: SHEILA LOPEZ LMT, CLT

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	MT50318	AZ

General Provider Information

NPI Number	:	1710841093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA LOPEZ LMT, CLT

Provider Business Mailing Address
First Line	:	869 E WATERVEW PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85249
Country	:	US
Telephone Number	:	575-202-0627
Fax Number	:

Provider Business Practice Location Address
First Line	:	869 E WATERVIEW PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85249-6930
Country	:	US
Telephone Number	:	575-202-0627
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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