Individual
LEIGH ANN MACHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9025 4TH ST NW, ALBUQUERQUE, NM 87114-1650
(505) 263-4252
Mailing address
PO BOX 10130, ALBUQUERQUE, NM 87184-0130
(505) 263-4252
(505) 587-8747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8793
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT8793
NM RLD
NM
Enumeration date
12/07/2017
Last updated
06/22/2020
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