Individual
KHANA DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10404 W COGGINS DR STE 110, SUN CITY, AZ 85351-3465
(623) 777-9919
Mailing address
10404 W COGGINS DR STE 110, SUN CITY, AZ 85351-3465
(623) 777-9919
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT-18363
AZ
225700000X
Massage Therapist
MT-18363
AZ
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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