Individual
MR. LUIS MANUEL RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMT
Contact information
Practice address
930 N MESA DR UNIT 2036, MESA, AZ 85201-4327
(404) 784-1233
Mailing address
930 N MESA DR UNIT 2036, MESA, AZ 85201-4327
(347) 966-7533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227009205
IL
225700000X
Massage Therapist
Primary
MT-25981
AZ
Other
Enumeration date
08/31/2017
Last updated
03/04/2026
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