Individual
DEBORAH ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., LMT
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0955
AZ
171100000X
Acupuncturist
Primary
LAC-000955
AZ
225700000X
Massage Therapist
MT-20830
AZ
Other
Enumeration date
12/09/2015
Last updated
02/02/2021
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