Rosa Celeste Sidy, LMT

Individual provider Active NPI Massage Therapist · Carefree, AZ

NPI 1225448657 · NPPES record last updated May 7, 2014

Key facts

NPI
1225448657
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
#MT-00456 (AZ)
Practice address
7208 East Cave Creek Road
Suite H
Carefree, AZ 85377
Phone
(480) 652-2268
NPI assigned
May 7, 2014
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

State licenses

LicenseStateTypeSpecialty
#MT-00456AZMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X #MT-00456 AZ Yes

Addresses

Primary practice location

7208 East Cave Creek Road
Suite H
Carefree, AZ 85377

Mailing address

6030 E Kohuana PL
Cave Creek, AZ 85331-8811
Phone (480) 652-2268

Other providers in Carefree, AZ

All providers in Carefree, AZ · Massage Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.