Donna Jean Dillon, LMT
Individual provider Active NPI Massage Therapist · Magdalena, NM
NPI 1104609833 · NPPES record last updated Aug 16, 2023
Key facts
- NPI
- 1104609833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT-2023-0005 (NM)
- Practice address
- 103 St. Rd 107
Magdalena, NM 87825 - Phone
- (157) 551-8881
- NPI assigned
- Aug 16, 2023
- 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 |
|---|---|---|---|
| MT-2023-0005 | NM | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | MT-2023-0005 | NM | Yes |
Addresses
Primary practice location
103 St. Rd 107
Magdalena, NM 87825
Mailing address
PO Box 331
Magdalena, NM 87825-0331
Phone (575) 518-8817
Other providers in Magdalena, NM
- Alamo Navajo Health Center
- Tammy Christensen
- Fabrion of NM D/B/a Rio Grande Errands
- Margaretha Katharina Jenness
- Allan Gordon Kraw
- Magdalena Cabin Counseling
- Brittany N Martinez
All providers in Magdalena, 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 Aug 16, 2023. 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.