MR. GARRETT MICHAEL PENROD CPT
NPI 1780416438
Massage Therapist in Mesa, AZ
Active since August 19, 2024
About Mr. Garrett Michael Penrod Cpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GARRETT MICHAEL PENROD CPT (NPI 1780416438) is an individual massage therapist in Mesa, Arizona, licensed in Arizona (MT-29099) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1780416438
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. GARRETT MICHAEL PENRODCredential: CPT
Location Address1941 S PIERPONT DR APT 1076Mesa, AZ 85206-4651
Mailing Address1941 S Pierpont Dr Apt 1076Mesa, AZ 85206-4651 · (602) 803-9210
Phone(602) 803-9210
Sole ProprietorYes
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1780416438 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-29099
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.
1941 S PIERPONT DR APT 1076, Mesa, AZ 85206
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780416438, enumerated as an "individual" on August 19, 2024.
The provider is located at 1941 S PIERPONT DR APT 1076 MESA, AZ 85206 and the phone number is (602) 803-9210.
Massage Therapist with taxonomy code 225700000X.
