Individual provider · NPI-1

James W Ahearn, LMT

Massage Therapist · Santa Fe, NM

NPI number1144045782
StatusActive
Last updated in NPPESNov 19, 2024

Details

NPI
1144045782
Entity type
Individual (NPI-1)
Name
James W Ahearn
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 19, 2024
Certification date
Nov 19, 2024
Last updated
Nov 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist8830NMYes

Practice location

2538 Camino Entrada Ste 300
Santa Fe, NM 87507-4927

Phone 505-424-1239

Mailing address

Po Box 33286
Santa Fe, NM 87594-3286

Phone 505-424-1239

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