NPI 1164799649

Ashley Shavon Wickwire, LMT

Practitioner Contractor Albuquerque, NM

Practice location

Address: 10905 Claremont Ave NE, Albuquerque, NM 87112-1606
Phone: (505) 712-0122

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 7130 (NM)

Other Contractor providers in New Mexico →

Registry record

NPI: 1164799649
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2011
Record last updated: 28 Nov 2011

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.