Individual
MISS PATRICIA FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3429 W WING TIP DR, MARANA, AZ 85658-4691
(720) 289-9981
Mailing address
3429 W WING TIP DR, MARANA, AZ 85658-4691
(720) 289-9981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT0016132
CO
225700000X
Massage Therapist
Primary
MT27096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
841570068
CHIROPRACTOR
CO
Enumeration date
11/27/2019
Last updated
12/06/2022
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