IndividualActive
Bruce Vaught, LMT
NPI 1104470285 · Massage Therapist · Mesa, AZ
Provider details
- NPI number
- 1104470285
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 24762 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4135 S Power Rd Ste 110
Mesa, AZ 85212-3625
Phone: (623) 326-0545
Street-level locationGet directions
Mailing address
4202 E Broadway Rd Unit 135
Mesa, AZ 85206-1067
Additional practice locations (1)
- 6671 E Baseline Rd Ste 126Mesa, AZ 85206-4328Phone: (623) 326-0545
Registry dates
- Enumerated
- 2019-07-28
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.