Organization Active NPI

TLC Therapeutics LLC

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1487015665
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4701 Issued in NM
Legal business name
TLC THERAPEUTICS LLC
Practice address
2708 San Mateo Blvd NE
Albuquerque, NM 87110-3160
Phone
(505) 872-5663
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Terrie Lynn Call, HHP LMT RMTI
Title
Owner
Phone
(505) 872-5663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 4701 NM Primary

Addresses

Primary practice location

2708 San Mateo Blvd NE
Albuquerque, NM 87110-3160

Mailing address

2708 San Mateo Blvd NE
Albuquerque, NM 87110-3160
Phone (505) 872-5663

Other names 1

  • Restorative Medical Massage Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Restorative Medical Massage Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1487015665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103160",
            "telephone_number": "505-872-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103160",
            "telephone_number": "505-872-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-872-5663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HHP LMT RMTI"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Medical Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.