Individual
JONATHAN BITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1421 LUISA ST STE R, SANTA FE, NM 87505-4073
(505) 557-6140
Mailing address
930 LOPEZ ST UNIT C, SANTA FE, NM 87501-2421
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2025-0255
NM
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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