Provider Demographics
NPI:1528866910
Name:ONEILL, ALAYNA NICOLE (LMT)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:NICOLE
Last Name:ONEILL
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 1:611 COPPER BASIN RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-4603
Mailing Address - Country:US
Mailing Address - Phone:928-300-6037
Mailing Address - Fax:
Practice Address - Street 1:611 COPPER BASIN RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-4603
Practice Address - Country:US
Practice Address - Phone:928-300-6037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-28651225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist