Organization · NPI-2
Amy Weigold, Lmt
Massage Therapist · Santa Fe, NM
NPI number1346617834
StatusActive
Last updated in NPPESAug 31, 2015
Details
- NPI
- 1346617834
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Weigold, Lmt
- Organization subpart
- No
- Enumeration date
- Aug 31, 2015
- Last updated
- Aug 31, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7934 | NM | Yes |
Practice location
1532 Cerrillos RdSanta Fe, NM 87505-3512
Phone 318-510-7840
Mailing address
3005 S Saint Francis DrSuite 1-D, Unit 439
Santa Fe, NM 87505-6964
Phone 318-510-7840
Authorized official
Amy Elizabeth Weigold
Licensed Massage Therapist
3185107840
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