Individual
MR. TIMOTHY PERROW CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
201 NAMBE ST, SANTA FE, NM 87505-3817
(505) 795-0467
Mailing address
201 NAMBE ST, SANTA FE, NM 87505-3817
(505) 795-0467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6487
NM
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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