Individual
VIKTORIYA RANTIKOVNA MINASOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2916 W CARIBBEAN LN, PHOENIX, AZ 85053-4882
(480) 828-6747
Mailing address
2916 W CARIBBEAN LN, PHOENIX, AZ 85053-4882
(480) 828-6747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MT-26912
AZ
227900000X
Registered Respiratory Therapist
Primary
6888
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871741343
—
AZ
Enumeration date
09/08/2008
Last updated
09/22/2020
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