| NPI | 1679725667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN P. CARBONNEAU Office Manager 505-830-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 4024) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 1707) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |