Michelle Bennett, LMT#8540,CNMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8540 Issued in NM

Practice address

6303 Indian School Rd NE
Suite 102B
Albuquerque, NM 87110-5328

Phone

(505) 582-1176

NPI assigned

Dec 20, 2016

Last updated

Dec 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1649715145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 EUBANK BLVD NE",
            "address_2": "APT 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112553",
            "telephone_number": "505-206-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 102B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105328",
            "telephone_number": "505-582-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MICHELLE",
        "credential": "LMT#8540,CNMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "8540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Bennett, MD
• Kaitlin Elyse Bennett
• Kirsten Bennett, RD
• Lacie D Bennett, LMSW
• Lori L Bennett, PHYSICAL THERAPIST
• Shelby James Bennett, MD
• Simone Bennett
• Steven Eric Bennett, D.O.M.
• Terrence Bennett, M.D.
• Wesley C Bennett, LSAA

• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.