Provider Demographics
NPI:1538917166
Name:OCHOA, SALINAS MAGNOLIA (LMT)
Entity type:Individual
Prefix:
First Name:SALINAS
Middle Name:MAGNOLIA
Last Name:OCHOA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 E WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3609
Mailing Address - Country:US
Mailing Address - Phone:520-216-0133
Mailing Address - Fax:
Practice Address - Street 1:2450 N PANTANO RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3720
Practice Address - Country:US
Practice Address - Phone:520-722-9101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-11759225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist