MRS. MARY A BOCCHICCHIO (NPI# 1184126062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184126062 |
| Entity Type | Individual |
| Full Name | MRS. MARY A BOCCHICCHIO |
| Credential | BS, LMT |
| Practice Address |
5156 W Olive Ave # 404 Glendale AZ 85302-4205 |
| Practice Telephone | 4407259047 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-24017 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5156 W OLIVE AVE # 404 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628920 | Angelina Hull | Massage Therapist | 4318 W Kimberly Way, Glendale, AZ 85308-4411 | 2020-10-29 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1407461403 | Netthip Kunkaew | Massage Therapist | 920 Avonoak Ter, Glendale, CA 91206-1509 | 2020-09-15 |
| 1932694213 | Michelle Anderson | Massage Therapist | 3460 Ocean View Blvd Ste B, Glendale, CA 91208-3306 | 2018-06-28 |
| 1174020440 | Kelly Marie Kolb | Massage Therapist | 6615 W Happy Valley Rd Ste B108, Glendale, AZ 85310-2608 | 2018-04-12 |
| 1851895957 | Bethanie Dawn Freshour | Massage Therapist | 4360 W Thunderbird Rd, Glendale, AZ 85306-5027 | 2018-03-22 |
| 1508384520 | Amanda K Ong | Massage Therapist | 5334 W Northern Ave Ste 325, Glendale, AZ 85301-1441 | 2017-08-30 |
| 1619490802 | Danielle Marie Hicks | Massage Therapist | 20325 N 51st Ave Ste 108, Glendale, AZ 85308-5665 | 2017-07-20 |
| 1780036285 | Donn Belrichard | Massage Therapist | 6610 N 47th Ave Ste 5, Glendale, AZ 85301-4163 | 2016-07-07 |
| 1265899975 | Gary Watson | Massage Therapist | 11034 N 55th Ave, Glendale, AZ 85304-3934 | 2016-01-26 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.