Organization
MASSAGE & BANYA SPA OF SANTA FE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY MICHELLE KOEHLER LMT (OWNER)
(505) 474-4222
Entity
Organization
Contact information
Practice address
2801 RODEO RD STE C14, SANTA FE, NM 87507-6503
(505) 474-4222
Mailing address
2801 RODEO RD STE C14, SANTA FE, NM 87507-6503
(505) 474-4222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT3231
NM
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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