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

Edward Johan Gomillion, LMT

Individual provider Specialist · NPI 1093930802

Edward Johan Gomillion, LMT is a Specialist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

3227 E Bell Rd Ste 201
Phoenix, AZ 85032-2700
Phone: (602) 485-8434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MT04378P (AZ)

Record details

NPI number1093930802
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3227 E Bell Rd, Suite 201, Phoenix, AZ 85032-2700

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