Individual
MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 480-2649
Mailing address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 480-2649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5314
NM
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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