Organization
HANDWERK ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HANDWERK DOM (OWNER)
(505) 920-8977
Entity
Organization
Contact information
Practice address
1570 PACHECO ST STE C6, SANTA FE, NM 87505-3985
(505) 920-8977
Mailing address
PO BOX 32764, SANTA FE, NM 87594-2764
(505) 920-8977
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
NM942
NM
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM942
STATE ACUPUNCTURE LICENSE
NM
Enumeration date
12/08/2017
Last updated
12/08/2017
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