Provider Demographics
NPI:1033918180
Name:ALKHAZAELEH, NURA (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:NURA
Middle Name:
Last Name:ALKHAZAELEH
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-7308
Mailing Address - Country:US
Mailing Address - Phone:805-754-1294
Mailing Address - Fax:
Practice Address - Street 1:164 ARCADE DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2607
Practice Address - Country:US
Practice Address - Phone:805-754-1294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA94829225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist