Susan M Prins, LMT
Individual provider Active NPI Massage Therapist · Dixon, NM
NPI 1891362232 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1891362232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT8460 (NM)
- Practice address
- 219 NM-75
Dixon, NM 87527 - Phone
- (505) 901-1272
- NPI assigned
- Jun 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| MT8460 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carnelian Center | Massage Therapist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT8460 | NM | Yes |
Addresses
Primary practice location
219 NM-75
Dixon, NM 87527
Mailing address
186 El Valle Rd
Chamisal, NM 87521-4018
Phone (505) 901-1272
Other providers in Dixon, NM
All providers in Dixon, 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 Aug 23, 2021. 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.