Provider Demographics
NPI:1841660065
Name:COREY, LUCY HELEN (LMT NCTM)
Entity type:Individual
Prefix:MRS
First Name:LUCY
Middle Name:HELEN
Last Name:COREY
Suffix:
Gender:F
Credentials:LMT NCTM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-3206
Mailing Address - Country:US
Mailing Address - Phone:928-273-6897
Mailing Address - Fax:
Practice Address - Street 1:132 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-3206
Practice Address - Country:US
Practice Address - Phone:928-273-6897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT11435173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist