MEDICARE: MARCELLA ARIETA LMT CES

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-16679	AZ

General Provider Information

NPI Number	:	1811506074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELLA ARIETA LMT CES

Provider Business Mailing Address
First Line	:	3608 E FAIRMOUNT ST # 1
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3711
Country	:	US
Telephone Number	:	520-443-1190
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 W INA RD STE 103
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1975
Country	:	US
Telephone Number	:	520-989-0514
Fax Number	:

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

Provider Enumeration Date	:	07/23/2020
Last Update Date	:	07/23/2020

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Directions to “ MARCELLA ARIETA LMT CES” Practice Location

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