Diane Shenk, LMT
Individual provider Active NPI Massage Therapist · Santa Fe, NM
NPI 1154586642 · NPPES record last updated Jul 23, 2008
Key facts
- NPI
- 1154586642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 1356 (NM)
- Practice address
- 2801 Rodeo Rd Ste C14
Santa Fe, NM 87507-6503 - Phone
- (505) 474-4222
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 1356 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massage & Banya Spa of Santa Fe | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1356 | NM | Yes |
Addresses
Primary practice location
2801 Rodeo Rd Ste C14
Santa Fe, NM 87507-6503
Mailing address
1721B Camino Dos Antonios
Santa Fe, NM 87507-3263
Other providers in Santa Fe, NM
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- Tricia Ann Shell
- Susan Shelley
- Sheltered Living, Inc.
- Kellie Shelton
- Blair W Shepard
- Lori Diane Shepard
- John Sherdon
- Ann Sheridan
- Jerah Sherman
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 Jul 23, 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.