Individual
SUSANNA ATHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4494 W PEORIA AVE STE 115A, GLENDALE, AZ 85302-2020
(623) 670-2235
Mailing address
6236 W VERMONT AVE, GLENDALE, AZ 85301-6606
(623) 848-1440
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
—
—
225700000X
Massage Therapist
Primary
MT-21440
AZ
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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