Azha Justyne Abordo

Individual provider Active NPI Massage Therapist · Henderson, NV

NPI 1932062817 · NPPES record last updated Dec 8, 2025

Key facts

NPI
1932062817
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
NVMT.10813 (NV)
Practice address
375 Conestoga Way Unit 2814
Henderson, NV 89002-1101
Phone
(808) 720-7235
NPI assigned
Dec 8, 2025
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
NVMT.10813NVMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X NVMT.10813 NV Yes

Addresses

Primary practice location

375 Conestoga Way Unit 2814
Henderson, NV 89002-1101

Mailing address

375 Conestoga Way Unit 2814
Henderson, NV 89002-1101

Other names

  • Azha Justyne Rivera-Jacinto Former name

Other providers in Henderson, NV

All providers in Henderson, NV · Massage Therapist in Nevada

Sources for this page

Verify at the official NPI Registry.