| NPI | 1679118707 |
|---|---|
| Doing Business As | HARVEST MOON THERAPY |
| Entity Type | Organization |
| Authorized Contact | TERESA ANN LIFVERGREN Owner/ Occupational Therapist 575-770-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |