Erik Rafael King
Individual provider Active NPI Massage Therapist · Dewey, AZ
NPI 1003568932 · NPPES record last updated Nov 16, 2023
Key facts
- NPI
- 1003568932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 1345 N Steeldust TRL
Dewey, AZ 86327-5120 - Phone
- (623) 698-7722
- NPI assigned
- Jan 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Kinetics LLC | Single Specialty | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | Yes |
Addresses
Primary practice location
1345 N Steeldust TRL
Dewey, AZ 86327-5120
Mailing address
1345 N Steeldust TRL
Dewey, AZ 86327-5120
Phone (623) 698-7722
Other providers in Dewey, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.