GARY WATSON
NPI 1265899975
Massage Therapist in Glendale, AZ
- Individual
- Male
- Massage Therapist
About GARY WATSON
This page provides the complete NPI Profile along with additional information for Gary Watson, a provider established in Glendale, Arizona with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1265899975 assigned on January 2016. The practitioner's primary taxonomy code is 225700000X with license number MT-10582 (AZ). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1265899975 Verify this NPI
- Provider Name
- GARY WATSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11034 N 55TH AVE GLENDALE, AZ 85304
- Location Phone
- (602) 510-2989
- Mailing Address
- 11034 N 55TH AVE GLENDALE, AZ 85304
- Mailing Phone
- (602) 510-2989
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-26-2016
- Last Update Date
- 01-26-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MT-10582
- License State
- AZ
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265899975, enumerated as an "individual" on January 26, 2016.
The provider is located at 11034 N 55TH AVE GLENDALE, AZ 85304 and the phone number is (602) 510-2989.
Massage Therapist with taxonomy code 225700000X.