Vicki M Spear, LMT

NPI #1376711663 in Aztec, New Mexico

Provider Information

NPI Number: 1376711663
Entity Type: Individual
Name: Vicki M Spear, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 20, 2008
Last Updated: Feb 20, 2008

Practice Location

Address: 1415 W AZTEC BLVD
Address 2: STE 4
City: Aztec
State: New Mexico
ZIP Code: 87410-1868
Phone: (505) 793-0079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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