NPI 1013425743
Blackthorne INC
Practice location
- Address
- 4010 Carlisle Blvd NE Suite D, Albuquerque, NM 87107-5633
- Phone
- (505) 977-0666
- Mailing address
- 624 Douglas Macarthur Rd NW, Albuquerque, NM 87107
Authorised official
- Name
- Rhydian Blackthorne
- Title
- Owner/Ceo
- Phone
- (505) 977-0666
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1013425743
- Entity type
- Organization
- NPI issued
- 16 Jan 2018
- Record last updated
- 26 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.