Barbara A Deluca, LMHC, LMT
Individual provider Active NPI Massage Therapist · Grants, NM
NPI 1053506394 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1053506394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- LMT 2903 (NM)
- Practice address
- 625 Kingman Ave Apt B
Box 66
Grants, NM 87020-4104 - Phone
- (505) 699-2254
- NPI assigned
- Sep 10, 2007
- 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 |
|---|---|---|---|
| 0091361 | NM | MD | Mental Health Counselor |
| 2903 | NM | MD | Reflexologist |
| LMT 2903 | NM | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | LMT 2903 | NM | Yes |
| Mental Health Counselor | 101YM0800X | 0091361 | NM | |
| Reflexologist | 173C00000X | 2903 | NM |
Addresses
Primary practice location
625 Kingman Ave Apt B
Box 66
Grants, NM 87020-4104
Mailing address
PO Box 66
Grants, NM 87020-0066
Phone (505) 699-2254
Other providers in Grants, NM
- James Woodson Crum
- Paul Cuellar
- Darren Haltom Specialty Partners of NM II, LLC
- David Pitts MD PA
- Monica Davis
- Donna Deming
- Derrick Baca DDS LLC
- Desert Rain Personal Care, LLC
- Dialysis Clinic Inc.
- Stacey Dimitt
All providers in Grants, 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 Jun 10, 2008. 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.