Provider Demographics
NPI:1548559008
Name:ANAYA, DANIEL C (LMT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:C
Last Name:ANAYA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:8877 W UNION HILLS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3008
Mailing Address - Country:US
Mailing Address - Phone:623-583-8190
Mailing Address - Fax:623-583-8788
Practice Address - Street 1:8877 W UNION HILLS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-3008
Practice Address - Country:US
Practice Address - Phone:623-583-8190
Practice Address - Fax:623-583-8788
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZMT-08871225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist