Individual
RHYDIAN BLACKTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4010 CARLISLE BLVD NE STE D, ALBUQUERQUE, NM 87107-4532
(505) 977-0666
Mailing address
624 DOUGLAS MACARTHUR RD NW, ALBUQUERQUE, NM 87107-5138
(505) 977-0666
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
171026
KY
225700000X
Massage Therapist
Primary
MT8347
NM
Other
Enumeration date
01/13/2018
Last updated
06/26/2023
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