Provider Demographics
NPI:1073327052
Name:FRAZEE, KATHRYN LEE (LMT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEE
Last Name:FRAZEE
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 1:7493 N ORACLE RD STE 123
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6328
Mailing Address - Country:US
Mailing Address - Phone:520-308-4665
Mailing Address - Fax:
Practice Address - Street 1:7493 N ORACLE RD STE 103
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6328
Practice Address - Country:US
Practice Address - Phone:520-308-4665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-18633225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty