Organization
SHAKTI MASSAGE THERAPY LLC
Active
Other names
Shakti Massage Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STAYZHA C LEE (OWNER/LMT)
(480) 719-9763
Entity
Organization
Contact information
Practice address
13802 N SCOTTSDALE RD STE 120-19, SCOTTSDALE, AZ 85254-3458
(480) 359-5890
Mailing address
13802 N SCOTTSDALE RD STE 120-19, SCOTTSDALE, AZ 85254-3458
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
MASSAGE THERAPY
—
Enumeration date
06/08/2020
Last updated
06/08/2020
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