ANGELITO MANDOLADO LMT - NPI 1063889301 - Massage Therapist in Phoenix, AZ

Q: What is Angelito Mandolado's NPI number?

The NPI number for Angelito Mandolado is 1063889301. It was assigned to this individual provider in the NPPES registry on August 21, 2015.

Q: What is Angelito Mandolado's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

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About Angelito Mandolado Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELITO MANDOLADO LMT (NPI 1063889301) is an individual massage therapist in Phoenix, Arizona, licensed in Arizona (MT-16283) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1063889301

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameANGELITO MANDOLADOCredential: LMT

Location Address1641 E OSBORN RD STE 6Phoenix, AZ 85016-7146

Mailing Address1641 E Osborn Rd Ste 6Phoenix, AZ 85016-7146 · (602) 265-1774 · Fax (602) 265-1738

Phone(602) 265-1774

Fax(602) 265-1738

Sole ProprietorNo

Enumeration DateAugust 21, 2015

✔ NPI 1063889301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in AZ · MT-16283

Definition

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.

1641 E OSBORN RD STE 6, Phoenix, AZ 85016

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN FEUSSNER LMT

Massage Therapist