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Contact Information

MEDI-SSAGE OUTREACH
1845 E BROADWAY RD STE 116-6
TEMPE, AZ85282-1633
 Phone: 480-770-6641
 Fax: 480-546-5199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
 

Clinic/Center

261Q00000X
 

Community/Behavioral Health

251S00000X
 

Pain

261QP3300X
Indicates primary specialty

NPI Profile & details for MEDI SSAGE OUTREACH · (Female)

NPI Number 1891425021
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2022
Last updated 06/11/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Other 23314837 MANUAL THERAPY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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