Provider Demographics
NPI:1932920782
Name:SAVAGEAU, EVA (CST, LMT,)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:SAVAGEAU
Suffix:
Gender:F
Credentials:CST, LMT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8952 E DESERT COVE AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6777
Mailing Address - Country:US
Mailing Address - Phone:480-652-5375
Mailing Address - Fax:
Practice Address - Street 1:8952 E DESERT COVE AVE STE 212
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6777
Practice Address - Country:US
Practice Address - Phone:480-652-5375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-12145225700000X
225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist