Organization
HEALTHY LIFESTYLES CONSULTANTS LLC
Active
Organization
HEALTHY LIFESTYLES CONSULTANTS LLC
Active
Other names
AZ Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GALAVIZ CMA LCMT (OWNER/ THERAPIST)
(702) 481-8168
Entity
Organization
Contact information
Practice address
3105 S 4TH AVE, YUMA, AZ 85364-8122
(702) 481-8168
Mailing address
3128 S BRAND LEE WAY, YUMA, AZ 85365-5110
(702) 481-8168
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
AZ
261QH0100X
Health Service Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
AZ
305S00000X
Point of Service
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336580
AMERICAN ASSOCIATION OF MEDICAL ASSISTANTS
IL
01
—
339090
ASSOCIATED BODYWORK & MASSAGE PROFESSIONALS
CO
01
—
707134
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
IL
01
—
MT-19507
ARIZONA STATE BOARD OF MASSAGE THERAPY
AZ
Enumeration date
09/19/2017
Last updated
07/21/2022
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