Individual provider · NPI-1

Mirza Y Ayala

Massage Therapist · Dallas, TX

NPI number1104618156
StatusActive
Last updated in NPPESMay 17, 2025

Details

NPI
1104618156
Entity type
Individual (NPI-1)
Name
Mirza Y Ayala
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2025
Certification date
May 17, 2025
Last updated
May 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistM14237TXYes

Practice location

2510 Southwell Rd Ste 118
Dallas, TX 75229-4644

Phone 214-466-0925

Mailing address

2510 Southwell Rd Ste 118
Dallas, TX 75229-4644

Phone 469-254-2789

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