Individual
MIA PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
724 W ANIMAS ST, FARMINGTON, NM 87401-5617
(505) 793-1760
(855) 263-7200
Mailing address
724 W ANIMAS ST, FARMINGTON, NM 87401-5617
(505) 330-4176
(855) 263-7200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2025-0008
NM
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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