NPI 1033354352

Kellie L. Fuller, CMTLMT

Practitioner Massage Therapist Farmington, NM

Practice location

Address: 626 E Main St # 2, Farmington, NM 87401-2714
Phone: (505) 608-9908

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 5427 (NM)

Other Massage Therapist providers in New Mexico →

Registry record

NPI: 1033354352
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2008
Record last updated: 16 Dec 2008

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.