Provider Demographics
NPI:1073221446
Name:LD CONCEPTS, LLC
Entity Type:Organization
Organization Name:LD CONCEPTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMT
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:D'SYLVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-420-4981
Mailing Address - Street 1:15761 E CENTIPEDE DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-1505
Mailing Address - Country:US
Mailing Address - Phone:480-390-5003
Mailing Address - Fax:480-420-4981
Practice Address - Street 1:9188 E SAN SALVADOR DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5562
Practice Address - Country:US
Practice Address - Phone:480-420-4981
Practice Address - Fax:480-546-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty