Provider Demographics
NPI:1275956799
Name:GALAVIZ, JAMES (LCMT CMA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:GALAVIZ
Suffix:
Gender:M
Credentials:LCMT CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 S BRAND LEE WAY
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-5110
Mailing Address - Country:US
Mailing Address - Phone:702-481-8168
Mailing Address - Fax:
Practice Address - Street 1:401 PICACHO RD
Practice Address - Street 2:
Practice Address - City:WINTERHAVEN
Practice Address - State:CA
Practice Address - Zip Code:92283-9605
Practice Address - Country:US
Practice Address - Phone:760-572-4665
Practice Address - Fax:760-572-4248
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X, 171400000X, 171R00000X, 172M00000X, 225400000X
AZMT-19507173C00000X, 225700000X
IL2455251202K00000X, 374700000X
IL707134208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No171400000XOther Service ProvidersHealth & Wellness Coach
No171R00000XOther Service ProvidersInterpreter
No172M00000XOther Service ProvidersMechanotherapist
No173C00000XOther Service ProvidersReflexologist
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist