Athena Andriakos, LMT
Massage Therapist in Santa Fe, NM. Individual provider (NPI-1).
NPI number1053185736
StatusActive
Last updated in NPPESNov 13, 2023
Details
- NPI
- 1053185736
- Entity type
- Individual (NPI-1)
- Name
- Athena Andriakos
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2023
- Certification date
- Nov 13, 2023
- Last updated
- Nov 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT9586 | NM | Yes |
Practice location
1640 Old Pecos TrlSanta Fe, NM 87505-4776
Phone 505-372-4772
Mailing address
4804 Solecito CirSanta Fe, NM 87507-2779
Phone 928-266-5511
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