MEDICARE: MARY HEATHER SULLIVAN TANSEY MT

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-18093	AZ

General Provider Information

NPI Number	:	1780090894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY HEATHER SULLIVAN TANSEY MT

Provider Business Mailing Address
First Line	:	30138 N 121ST LN
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-3489
Country	:	US
Telephone Number	:	909-844-1326
Fax Number	:

Provider Business Practice Location Address
First Line	:	8996 W UNION HILLS DR
Second Line	:	#103
City	:	PEORIA
State	:	AZ
Zip	:	85382-3010
Country	:	US
Telephone Number	:	909-844-1326
Fax Number	:

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

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	07/09/2014

Similar Medicare Providers

1104775998 — TYLER A CENTNER PT
Practice Location Address:

8996 W UNION HILLS DR STE 107
PEORIA, AZ
85382-3010

Practice Phone: 602-361-0487
Practice Fax:

1568519171 — DR. STEVEN JAMES ERICKSON D.C.
Practice Location Address:

8996 W UNION HILLS DR , SUITE 103
PEORIA, AZ
85382-3010

Practice Phone: 623-566-4694
Practice Fax: 623-566-6025

1326203308 — DR. DANIEL CHARLES SKIRVIN DVM
Practice Location Address:

8996 W UNION HILLS DR , SUITE 107
PEORIA, AZ
85382-3010

Practice Phone: 623-825-9170
Practice Fax:

1356580682 — AZ CHIRO LLC
Practice Location Address:

8996 W UNION HILLS DR , STE 103
PEORIA, AZ
85382-3010

Practice Phone: 623-986-0343
Practice Fax:

1568729952 — ERICKSON CHIROPRACTIC CLINIC, P.C.
Practice Location Address:

8996 W UNION HILLS DR , SUITE 103
PEORIA, AZ
85382-3010

Practice Phone: 623-566-4694
Practice Fax: 623-566-6025

1104506203 — THE PLATFORM PERFORMANCE AND SPORTS REHAB, PLLC
Practice Location Address:

8996 W UNION HILLS DR STE 107
PEORIA, AZ
85382-3010

Practice Phone: 602-717-9361
Practice Fax:

Directions to “ MARY HEATHER SULLIVAN TANSEY MT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.