Blair Michael Bullinger, MMT, NTS
Mechanotherapist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1881982080
StatusActive
Last updated in NPPESJul 21, 2011
Details
- NPI
- 1881982080
- Entity type
- Individual (NPI-1)
- Name
- Mr. Blair Michael Bullinger
- Credential
- MMT, NTS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2011
- Last updated
- Jul 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | 6984 | NM | Yes |
Other names
- Blair Michael Garcia-Bullinger (Other Name)
Practice location
316 Madison St NeAlbuquerque, NM 87108-1243
Phone 505-206-9702
Mailing address
6601 Kathryn Ave SeAlbuquerque, NM 87108-4933
Phone 505-206-9702
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