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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