James Abraham Alford II, MANUAL THERAPIST

Individual provider Active NPI Massage Therapist · Mesa, AZ

NPI 1740720879 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1740720879
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT07466 (AZ)
Practice address
1809 E University Dr Ste 102
Mesa, AZ 85203-8235
Phone
(480) 256-9359
NPI assigned
Mar 8, 2017
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
MT07466AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Touch of Life Massage Massage Therapist Current
since Sep 20, 2022
Accepting new patients
Touch of Life Massage Massage Therapist Current Accepting new patients

Locations

1809 E University Dr
Ste 102
Mesa, AZ 85203
Phone (480) 256-9359

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT07466 AZ Yes

Addresses

Primary practice location

1809 E University Dr Ste 102
Mesa, AZ 85203-8235

Mailing address

1809 E University Dr Ste 102
Mesa, AZ 85203-8235
Phone (480) 256-9359

Other providers in Mesa, AZ

All providers in Mesa, AZ · Massage Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.