Individual
BRIAN TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NM LMT 8964
Contact information
Practice address
530 SALAZAR ST # A, SANTA FE, NM 87501-3642
(970) 222-2710
Mailing address
530 SALAZAR ST # A, SANTA FE, NM 87501-3642
(970) 222-2710
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8964
NM
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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