Irina Sels Campbell, LMT
Individual provider Active NPI Massage Therapist · El Prado, NM
NPI 1417202086 · NPPES record last updated Jul 19, 2012
Key facts
- NPI
- 1417202086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 6907 (NM)
- Practice address
- 3 Verdolaga Road
El Prado, NM 87529 - Phone
- (575) 613-3133
- NPI assigned
- Jul 19, 2012
- 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 |
|---|---|---|---|
| 6907 | NM | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6907 | NM | Yes |
Addresses
Primary practice location
3 Verdolaga Road
El Prado, NM 87529
Mailing address
PO Box 2198
Ranchos de Taos, NM 87557-2198
Phone (575) 613-3133
Other providers in El Prado, NM
- Elin McKinnon Ritchie
- Susan K Russo
- Sacred Passage Midwifery
- Rachael Saum
- James D Schloss Jr.
- Noel Simmons
- Mary Adrienne Simonini
- John Smith
- Support 4 Healing
- Taos Recovery, Inc.
All providers in El Prado, 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 19, 2012. 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.