Provider Demographics
NPI:1740720879
Name:ALFORD, JAMES ABRAHAM II (MANUAL THERAPIST)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ABRAHAM
Last Name:ALFORD
Suffix:II
Gender:M
Credentials:MANUAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 E UNIVERSITY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8235
Mailing Address - Country:US
Mailing Address - Phone:480-256-9359
Mailing Address - Fax:
Practice Address - Street 1:1809 E UNIVERSITY DR STE 102
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8235
Practice Address - Country:US
Practice Address - Phone:480-256-9359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-08
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT07466225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist