Individual
KYOKO M HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NEW MEXICO LMT #072
Contact information
Practice address
824 PASEO DEL PUEBLO NORTE, TAOS, NM 87571
(575) 751-4040
Mailing address
824 PASEO DEL PUEBLO NORTE STE B, TAOS, NM 87571-6483
(575) 770-6643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0072
NM
225700000X
Massage Therapist
Primary
0072
NM
Other
Enumeration date
11/15/2007
Last updated
06/12/2018
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