Organization
MYSTIC MYRTLES STUFF LLC
Active
Organization
MYSTIC MYRTLES STUFF LLC
Active
Other names
Mystic Myrtles Stuff LLC Massage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL JOHN MCINTYRE (CFO)
(928) 753-3148
Entity
Organization
Contact information
Practice address
1711 N STOCKTON HILL RD, SUITE A, KINGMAN, AZ 86401-4673
(928) 753-3148
(928) 753-3148
Mailing address
1711 N STOCKTON HILL RD, SUITE A, KINGMAN, AZ 86401-4673
(928) 753-3148
(928) 753-3148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT04442P
AZ
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up