Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104470285 Individual Practitioner Male Practitioner

Bruce Vaught , LMT

Massage Therapist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Bruce Vaught, LMT is a registered healthcare professional specializing in Massage Therapist in Mesa, AZ. Practice services are available at 4135 S POWER RD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4135 S Power Rd Ste 110

Mesa, AZ 852123625

Telephone 6233260545
Associated Practice Facility / Clinic
🏢 Roots Chiropractic, Llc Facility NPI 1508539461

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
88 Specialists

Practicing in Mesa, AZ (1297 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-11
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License AZ 24762

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Secondary Practice Locations

6671 E Baseline Rd Ste 126

Mesa, AZ 852064328

Phone: 6233260545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kelsey Matarese

Massage Therapist

NPI 1003601741
NPI 1477281814

Doctor of Chiropractic

NPI 1932795143

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 11, 2025

Registered at 4135 S POWER RD STE 110, MESA, AZ 852123625 (Tel: 6233260545)

📍
Updated Business Mailing Address April 11, 2025

Registered at 4202 E BROADWAY RD UNIT 135, MESA, AZ 852061067 (Tel: 6233260545)

NPI Profile Active July 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2019

Registered at 6671 E BASELINE RD STE 126, MESA, AZ 852064328 (Tel: 6233260545)

📍
Updated Business Mailing Address July 28, 2019

Registered at 3057 E HOBART ST, GILBERT, AZ 852969173 (Tel: 6233260545)

👤
Provider Name / Credentials Updated July 28, 2019

Recorded as BRUCE VAUGHT, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2019

Massage Therapist (License #24762 in AZ)

🟢
Initial NPI Registration & Enumeration July 28, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104470285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2019
Last Update: April 11, 2025
Sole Proprietor: Yes

Mailing Address

4202 E Broadway Rd Unit 135

Mesa, AZ 852061067

Phone: 6233260545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.