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Contact Information

SUSANNA ATHERTON, LMT
4494 W PEORIA AVE STE 115A
GLENDALE, AZ85302-2020
 Phone: 623-670-2235
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
 

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for SUSANNA ATHERTON · (Female)

NPI # 1003547290
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 06/20/2022
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # MT-21440
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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