Laura Jolly, LMT
Individual provider Active NPI Massage Therapist · Santa Fe, NM
NPI 1003423872 · NPPES record last updated Sep 25, 2020
Key facts
- NPI
- 1003423872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT3474 (NM)
- Practice address
- 1963 Kiva Rd
Santa Fe, NM 87505-3314 - Phone
- (505) 983-6733
- NPI assigned
- Sep 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT3474 | NM | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT3474 | NM | Yes |
Addresses
Primary practice location
1963 Kiva Rd
Santa Fe, NM 87505-3314
Mailing address
1963 Kiva Rd
Santa Fe, NM 87505-3314
Phone (505) 983-6733
Other providers in Santa Fe, NM
- Sheyenne Johnson
- Wendy Johnson
- Karisa Johnston
- William Hannan Johnston
- Rebecca Ann Jolin
- Jonathan Wallach LPCC LLC
- Brayden Jones
- Cassia Jones
- Jacquel Jones
- Joe E. Jones
All providers in Santa Fe, NM · Massage Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.