MEDICARE: EVA SAVAGEAU CST, 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	MT-12145	AZ
2	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1932920782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA SAVAGEAU CST, LMT,

Provider Business Mailing Address
First Line	:	8952 E DESERT COVE AVE STE 212
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6777
Country	:	US
Telephone Number	:	480-652-5375
Fax Number	:

Provider Business Practice Location Address
First Line	:	8952 E DESERT COVE AVE STE 212
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-6777
Country	:	US
Telephone Number	:	480-652-5375
Fax Number	:

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

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	10/23/2024

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