MEDICARE: MARY TAPIA LMT

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	25437	AZ

General Provider Information

NPI Number	:	1871419614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY TAPIA LMT

Provider Business Mailing Address
First Line	:	10700 N LA RESERVE DR APT 6206
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85737-8759
Country	:	US
Telephone Number	:	520-265-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	10700 N LA RESERVE DR APT 6206
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85737-8759
Country	:	US
Telephone Number	:	520-265-6376
Fax Number	:

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

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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