Individual
MS. LAUREN K TIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CST, TRE
Contact information
Practice address
1807 2ND ST # 45-3, SANTA FE, NM 87505-3499
(512) 699-1086
Mailing address
PO BOX 54, SANTA FE, NM 87504-0054
(512) 699-1086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-2024-0073
NM
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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