Aztec Spa and Wellness

Organization Active NPI Massage Therapist · Aztec, NM

NPI 1508389784 · NPPES record last updated Jul 19, 2017

Key facts

NPI
1508389784
Entity type
Organization (NPI type 2)
Primary specialty
Massage Therapist 225700000X
License
8154 (NM)
Legal business name
AZTEC SPA AND WELLNESS
Practice address
1415 W Aztec Blvd Ste 4
Aztec, NM 87410-1899
Phone
(505) 320-1850
NPI assigned
Jul 19, 2017
Organization subpart
No

Authorized official

Name
Ms. Toni Farquharson, LMT
Title
Owner
Phone
(505) 320-1850

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1415 W Aztec Blvd
Ste 4
Aztec, NM 87410
Phone (505) 320-1850

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 8154 NM Yes

Addresses

Primary practice location

1415 W Aztec Blvd Ste 4
Aztec, NM 87410-1899

Mailing address

5200 Villa View Dr Apt 12a
Farmington, NM 87402-8255
Phone (505) 320-1850

Other identifiers

IdentifierTypeStateIssuer
1194253401OtherNMINSURANCE

Other providers in Aztec, NM

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

Sources for this page

Verify at the official NPI Registry.