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

Individual provider Recreation Therapist · NPI 1760920870

Johanna Avilez, CTRS is a Recreation Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
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Practice location Address checks out

650 E Indian School Rd
Phoenix, AZ 85012-1839
Phone: (602) 448-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 59164 (AZ)

Record details

NPI number1760920870
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedFebruary 9, 2017
Last updated in NPPESFebruary 9, 2017

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