Mary Miles, LMT

NPI #1265586622 in Socorro, New Mexico

Provider Information

NPI Number: 1265586622
Entity Type: Individual
Name: Mary Miles, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 722 N CALIFORNIA ST
Address 2: SUITE # 7
City: Socorro
State: New Mexico
ZIP Code: 87801-5221
Phone: (505) 740-2465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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