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WESTSIDE MYOFASCIAL CENTER LLC NPI 1194829614


NPI Information

NPI: 1194829614
Provider Name: WESTSIDE MYOFASCIAL CENTER LLC

Doing Business As: HEALING SOLUTIONS ALTERNATIVE WELLNESS CENTER LLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4011 BARBARA LOOP SE
SUITE 108
RIO RANCHO, NM
ZIP 87124
Phone: (505) 792-2592
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WESTSIDE MYOFASCIAL CENTER LLC is a specialist in Rio Rancho, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTSIDE MYOFASCIAL CENTER LLC NPI is 1194829614. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Healing Solutions Alternative Wellness Center Llc.

The provider's business location address is:

4011 BARBARA LOOP SE
SUITE 108
RIO RANCHO, NM
ZIP 87124-039
Phone: (505) 792-2592
Fax: (505) 792-2814

The provider's authorized official is Shari Ann Denton .
The authorized official title is Owner, Therapist and has the following contact phone number (505) 792-2592.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes
2225400000XRehabilitation PractitionerX
3225700000XMassage Therapist3940NEW MEXICOX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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