Provider Demographics
NPI:1659071348
Name:PATTERSON, TOSCHMA R (LMT)
Entity Type:Individual
Prefix:MISS
First Name:TOSCHMA
Middle Name:R
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 W CAMPBELL AVE APT 2129
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4917
Mailing Address - Country:US
Mailing Address - Phone:602-295-0061
Mailing Address - Fax:
Practice Address - Street 1:13610 N SCOTTSDALE RD STE 15
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4053
Practice Address - Country:US
Practice Address - Phone:602-295-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-28870225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist