Leticia Alcala, LMT, NCBTMB
Individual provider Active NPI Massage Therapist · Fort Mohave, AZ
NPI 1982840872 · NPPES record last updated Dec 23, 2008
Key facts
- NPI
- 1982840872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT-11064 (AZ)
- Practice address
- 5455 Hwy 95
Fort Mohave, AZ 86426 - Phone
- (928) 234-2087
- Fax
- (928) 763-6003
- NPI assigned
- Dec 23, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT-11064 | AZ | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-11064 | AZ | Yes |
Addresses
Primary practice location
5455 Hwy 95
Fort Mohave, AZ 86426
Mailing address
5455 Hwy 95
Fort Mohave, AZ 86426-9227
Phone (928) 234-2087
Other providers in Fort Mohave, AZ
- 1918 Winter Street Operating Co LLC
- Academic Health Inc
- Academic Health Inc
- Nitish Aggarwal
- Gabriel Alvarez Garcia
- Ambest Family Health Clinics, PLLC
- American Medical Imaging Inc
- Amigos Orthotics & Prosthetics Inc.
- Arizona CVS Stores, L.L.C.
All providers in Fort Mohave, AZ · Massage Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2008. 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.