NPI 1053729236
Reform
Practice location
- Address
- 10917 Cartagena Ave SW, Albuquerque, NM 87121-8274
- Phone
- (505) 639-1400
Authorised official
- Name
- Jacqueline Martin
- Title
- Massage Therapist
- Phone
- (505) 639-1400
Registered specialties
Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1053729236
- Entity type
- Organization
- NPI issued
- 31 Jul 2014
- Record last updated
- 31 Jul 2014
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.