Rebecca Louise Grider, LMT
Mechanotherapist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1487815767
StatusActive
Last updated in NPPESJun 19, 2008
Details
- NPI
- 1487815767
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rebecca Louise Grider
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2008
- Last updated
- Jun 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | 5960 | NM | Yes |
Practice location
540 Chama St Ne Ste 10Albuquerque, NM 87108-3595
Phone 505-888-9663
Mailing address
540 Chama St Ne Ste 10Albuquerque, NM 87108-3595
Phone 505-888-9663
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