Provider Demographics
NPI:1306276662
Name:GARCIA, ALMA RUTH (LMT)
Entity type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:RUTH
Last Name:GARCIA
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:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:CORTARO
Mailing Address - State:AZ
Mailing Address - Zip Code:85652-0099
Mailing Address - Country:US
Mailing Address - Phone:520-342-9037
Mailing Address - Fax:
Practice Address - Street 1:7620 N HARTMAN LN
Practice Address - Street 2:S-184
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-8263
Practice Address - Country:US
Practice Address - Phone:520-572-1265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT17665225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist