Individual
MIRA BAI FAIRLIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CYT, MSTR, MLDT
Contact information
Practice address
753 N MAIN ST STE F6, COTTONWOOD, AZ 86326-3664
(928) 254-1131
Mailing address
753 N MAIN ST STE F6, COTTONWOOD, AZ 86326-3664
(928) 254-1131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-07544
AZ
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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