| NPI | 1720099559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SERGIO PELLEGRINO Vice President 505-872-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 2193) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 4498) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |