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Organization

MEDI-SSAGE OUTREACH

Active
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Organization

MEDI-SSAGE OUTREACH

Active
Other names
Medi-ssage Outreach
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARRICKA R WATKINS LMT (FOUNDER)
(480) 479-5003
Entity
Organization

Contact information

Practice address
1845 E BROADWAY RD STE 116-6, TEMPE, AZ 85282-1633
(480) 770-6641
(480) 546-5199
Mailing address
1845 E BROADWAY RD STE 116-6, TEMPE, AZ 85282-1633
(480) 770-6641
(480) 546-5199

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QP3300X
Pain Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23314837
MANUAL THERAPY
AZ
Enumeration date
06/11/2022
Last updated
06/11/2022
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