OrganizationActive
Bhumiyam
NPI 1760805071 · Health Maintenance Organization · Prescott, AZ
Provider details
- NPI number
- 1760805071
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kelly Grey, Massage Therapist(928) 713-9631
- License
- MT-10655 (AZ)
Specialties & taxonomies
Managed Care Organizations
Practice location
634 Schemmer Dr Ste 301
Prescott, AZ 86305-2368
Phone: (928) 713-9631
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 96
Skull Valley, AZ 86338-0096
Registry dates
- Enumerated
- 2014-01-23
- Last updated
- 2014-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.