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NPI Code Detail

MEDICARE: STEVIE JO CALLAWAY

MEDICARE:   STEVIE JO CALLAWAY
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
1225700000XMassage TherapistMT-50280AZ

General Provider Information

NPI Number : 1831040716
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVIE JO CALLAWAY
Provider Business Mailing Address
First Line : 5300 N STETSON DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-9326
Country : US
Telephone Number : 928-821-4804
Fax Number :
Provider Business Practice Location Address
First Line : 5300 N STETSON DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-9326
Country : US
Telephone Number : 928-821-4804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ STEVIE JO CALLAWAY ” Practice Location

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