NPI 1326286022

Helene M Illston, MT

Practitioner Mechanotherapist Anthem, AZ

Practice location

Address: 43330 N Heavenly Way, Anthem, AZ 85086-8113
Phone: (623) 398-6897

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MT-05236 (AZ)

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Registry record

NPI: 1326286022
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2009
Record last updated: 3 Feb 2009

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.