MRS. DAVONNA MARIE WILLIS ATC LMT NPI 1649712019

NPI Information

NPI: 1649712019
Provider Name: MRS. DAVONNA MARIE WILLIS, ATC, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
625 N GILBERT RD
SUITE 103
GILBERT, AZ
ZIP 85234
Phone: (480) 779-0744
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MRS. Davonna Marie Willis, ATC, LMT is a massage therapist in Gilbert, AZ. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MRS. Davonna Marie Willis, ATC, LMT NPI is 1649712019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

625 N GILBERT RD
SUITE 103
GILBERT, AZ
ZIP 85234-398
Phone: (480) 779-0744

The enumeration date for this NPI number is 11/16/2016 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	225700000X	Massage Therapist		MT-12710	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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