Most Relevant Information
Provider Data
| NPI Number: | 1003651803 |
| Provider Name: | HALEY M LOPEZ LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT-28769 |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
312 W 10TH ST STE 2
CASA GRANDE
AZ
851223940
Practice Location Phone/Fax
| Phone: | 5202227385 |
| Fax: |
Provider Mailing Location
531 E RACINE PL
CASA GRANDE
AZ
851221611
Provider Mailing Phone/Fax
| Phone: | 5207059054 |
| Fax: |