Individual
DANIEL HEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 LUISA ST, SUITE B, SANTA FE, NM 87505-4073
(505) 919-9542
Mailing address
1421 LUISA ST, SUITE B, SANTA FE, NM 87505-4073
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6320
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6320
LMT
NM
Enumeration date
09/29/2015
Last updated
09/29/2015
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