Individual
SUSAN KAY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1917 OLD HWY 66, EDGEWOOD, NM 87015-8701
(505) 688-9224
Mailing address
PO BOX 1287, EDGEWOOD, NM 87015-1287
(505) 688-2605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8688
NM
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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