Azlynn Elizabeth Berry, MT
Individual provider Active NPI Massage Therapist · Calabases, CA
NPI 1124392279 · NPPES record last updated Mar 6, 2012
Key facts
- NPI
- 1124392279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 8244 (CA)
- Practice address
- 4937 Las Virgenes Rd
Suite 104
Calabases, CA 91302-3559 - Phone
- (818) 336-1579
- Fax
- (818) 880-6689
- NPI assigned
- Mar 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Medical Technician
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8244 | CA | Yes |
Addresses
Primary practice location
4937 Las Virgenes Rd
Suite 104
Calabases, CA 91302-3559
Mailing address
5738 Whitsett Ave
Suite Number 206
Valley Village, CA 91607-1575
Phone (818) 336-1579
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2012. 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.