# MAA WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366094393
- **Authorized official:** MS. ANGELA GRAGG R.N. (PRESIDENT)
- **Authorized official phone:** (602) 305-4719

## Contact information

- **Practice address:** 3146 E WIER AVE RM 19, PHOENIX, AZ 85040-2754
- **Practice address phone:** (602) 305-4719
- **Mailing address:** 3146 E WIER AVE, RM 19, PHOENIX, AZ 85040-2754
- **Mailing address phone:** (602) 305-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 175F00000X | Naturopath | — | NULL | — |
| 175F00000X | Naturopath | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 2278G1100X | General Care Certified Respiratory Therapist | — | NULL | — |
| 2278G1100X | General Care Certified Respiratory Therapist | — | — | — |

## Other

- **Enumeration date:** 07/10/2019
- **Last updated:** 09/27/2019