NPI 1003547290

Susanna Atherton, LMT

Practitioner Massage Therapist Glendale, AZ

Practice location

Address: 4494 W Peoria Ave STE 115a, Glendale, AZ 85302-2020
Phone: (623) 670-2235
Mailing address: 6236 W Vermont Ave, Glendale, AZ 85301-6606

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT-21440 (AZ)

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Mechanotherapist

Other Service Providers Taxonomy 172M00000X

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Registry record

NPI: 1003547290
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2022
Record last updated: 20 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.