Most Relevant Information
Provider Data
| NPI Number: | 1003547290 |
| Provider Name: | SUSANNA ATHERTON LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 172M00000X |
| Specialty: | Mechanotherapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2022 |
| Last Updated: | 06/20/2022 |
Provider Practice Location
4494 W PEORIA AVE STE 115A
GLENDALE
AZ
853022020
Practice Location Phone/Fax
| Phone: | 6236702235 |
| Fax: |
Provider Mailing Location
6236 W VERMONT AVE
GLENDALE
AZ
853016606
Provider Mailing Phone/Fax
| Phone: | 6238481440 |
| Fax: |