Kathleen Lesh Smith, L.M.T., C.N.M.T.

Individual provider Active NPI Massage Therapist · Chama, NM

NPI 1326323882 · NPPES record last updated Oct 17, 2011

Key facts

NPI
1326323882
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
6156 (NM)
Practice address
16306-B Hwy. 84
Chama, NM 87520
Phone
(505) 629-3480
Fax
(575) 756-1652
NPI assigned
Oct 17, 2011
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

LicenseStateTypeSpecialty
6156NMMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6156 NM Yes

Addresses

Primary practice location

16306-B Hwy. 84
Chama, NM 87520

Mailing address

HC 75 Box 1250
Los Ojos, NM 87551-9732
Phone (575) 588-7558

Other names

  • Kathleen Jean Lesh Former name

Other providers in Chama, NM

All providers in Chama, NM · Massage Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.