ANGELISA ANITA HERNANDEZ
Massage Therapist

Address: 4647 S 4th St, Phoenix, AZ 85040-2134

ANGELISA ANITA HERNANDEZ (NPI# 1902491814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902491814
Entity Type Individual
Full Name ANGELISA ANITA HERNANDEZ
Gender Female
Credential LMT
Practice Address 4647 S 4th St
Phoenix
AZ 85040-2134
Practice Telephone 6023996640
Mailing Address 4647 S 4th St
Phoenix
AZ 85040-2134
Mailing Telephone 6023996640
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225700000X Massage Therapist AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4647 S 4TH ST
City PHOENIX
State AZ
Zip Code 85040-2134

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NPI Name Taxonomy Address Enumeration
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1821508938 Saul Moroni Rivera Physician Assistant 4338 W Thomas Rd, 173, Phoenix, AZ 85040 2017-10-03
1174046478 Your Angel On Duty, LLC In Home Supportive Care 4747 E Elliot Rd, #29-460, Phoenix, AZ 85040 2017-07-19
1144760539 Serenity Anesthesia LLC Anesthesiology 4650 E Cotton Center Blvd Ste 155, Phoenix, AZ 85040 2017-03-03
1184162588 Moses Assisted Living LLC · Moses Behavioral Care II Community Based Residential Treatment Facility, Mental Illness 827 E Chipman Rd, Phoenix, AZ 85040 2017-02-06
1083164149 K & C Ventures LLC · Families 1st Services Day Training, Developmentally Disabled Services 4013 E Broadway Road, Phoenix, AZ 85040 2016-10-12
1952767956 Otto Bock Orthopedic Services LLC Prosthetic/Orthotic Supplier 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 2016-01-06
1679947238 Garcia's Assisted Living Home LLC Custodial Care Facility · Adult Care Home 2742 E Pueblo Avenue, Phoenix, AZ 85040 2015-11-19
1578956280 Ashley Elizabeth Church · Ashley Elizabeth Sisson Physical Therapist 5750 S. 32nd St, Phoenix, AZ 85040 2015-03-05
1720480940 Above and Beyond Care Providers Exclusive Provider Organization 2136 E. Bowker St, Phoenix, AZ 85040 2014-09-18
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548853385 Clarence Smith 3727 W Frier Dr, Phoenix, AZ 85051-6477 2021-02-12
1033706718 Santana Johns 1745 W Carol Ave Unit C, Phoenix, AZ 85021-2581 2020-12-28
1255928925 Steve Schauer 2001 W Camelback Rd Ste 100, Phoenix, AZ 85015-3467 2020-12-28
1821685983 Tiffany Elise Parker 13625 S 48th St Apt 1056, Phoenix, AZ 85044-5046 2020-12-23
1942897061 Taffy Wallace 12211 N Paradise Village Pkwy S Apt 105, Phoenix, AZ 85032-7630 2020-12-22
1043807324 Jeremiah Kendale Mack 16410 S 12th St Apt 213, Phoenix, AZ 85048-4007 2020-12-21
1073113221 Erin Clark 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 2020-10-27
1205435823 Angelica Mitchum 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 2020-10-23
1598362618 Zeke Michael Mcnelly 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 2020-10-01
1386250520 Jeanne Thom 21150 N Tatum Blvd Apt 1045, Phoenix, AZ 85050-4296 2020-09-22
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.