Organization
TAOS THERAPEUTIC MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE MCNAIRN LMT (OWNER)
(575) 758-3868
Entity
Organization
Contact information
Practice address
1332 GUSDORF RD STE D, TAOS, NM 87571-6372
(575) 758-3868
Mailing address
PO BOX 1055, TAOS, NM 87571-1055
(575) 758-3868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3439
NM
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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