KYLE OSTAPUK
NPI 1407514698
Massage Therapist in Chandler, AZ
Active since December 04, 2021
About Kyle Ostapuk NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE OSTAPUK (NPI 1407514698) is an individual massage therapist in Chandler, Arizona, licensed in Arizona (MT-17817) and active in the NPI registry since December 2021.
NPPES Registry Identity
NPI1407514698
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameKYLE OSTAPUK
Location Address575 W PECOS RDChandler, AZ 85225-7402
Mailing Address575 W Pecos Rd Apt 1094Chandler, AZ 85225-7408 · (602) 432-8836
Phone(602) 432-8836
Sole ProprietorYes
Enumeration DateDecember 4, 2021
NPPES CertifiedDecember 4, 2021
✔ NPI 1407514698 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-17817
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.
575 W PECOS RD, Chandler, AZ 85225
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407514698, enumerated as an "individual" on December 04, 2021.
The provider is located at 575 W PECOS RD CHANDLER, AZ 85225 and the phone number is (602) 432-8836.
Massage Therapist with taxonomy code 225700000X.