Individual
MRS. LISA CHRISTINE KAZMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, LMTA
Contact information
Practice address
1917 OLD HWY 66, EDGEWOOD, NM 87015
(505) 917-3631
Mailing address
PO BOX 2227, EDGEWOOD, NM 87015-2227
(505) 917-3631
(505) 281-4997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A-0575
NM
225700000X
Massage Therapist
Primary
MT9403
NM
Other
Enumeration date
04/01/2008
Last updated
11/30/2023
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