MS. Stacey L Potter, LMT, MTI, BS
NPI #1306110838 in Farmington, New Mexico
Provider Information
- NPI Number
- 1306110838
- Entity Type
- Individual
- Name
- MS. Stacey L Potter, LMT, MTI, BS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT, MTI, BS
- Enumeration Date
- Mar 1, 2012
- Last Updated
- Mar 1, 2012
Practice Location
- Address
- 313 N MONTEREY AVE
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-6957
- Phone
- (505) 701-4164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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