Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angelica Mitchum

Individual provider Massage Therapist · NPI 1205435823

Angelica Mitchum is a Massage Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

15815 S Lakewood Pkwy W 2051
Phoenix, AZ 85048-5850
Phone: (602) 647-8290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 25743 (AZ)

Record details

NPI number1205435823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2020
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020

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