Individual
COSTIN MIHAIL LIXANDRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,MSOM
Contact information
Practice address
8512 E LAKESHORE DR APT B, PRESCOTT VALLEY, AZ 86314-8574
(469) 688-0443
Mailing address
8512 E LAKESHORE DR APT B, PRESCOTT VALLEY, AZ 86314-8574
(469) 688-0443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-29733
AZ
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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