Individual
TALITHA EKAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMTPT, ANMT, LMT
Contact information
Practice address
115 W 6TH ST, SUITE 116, TEMPE, AZ 85281-3715
(323) 686-2668
Mailing address
5104 E VAN BUREN ST, APT 1151, PHOENIX, AZ 85008-7013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20660
AZ
225700000X
Massage Therapist
42549
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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