Shakti Clinic LLC

NPI #1578982161 in Espanola, New Mexico

Provider Information

NPI Number: 1578982161
Entity Type: Organization
Organization Name: Shakti Clinic LLC
Primary Specialty: Massage Therapist
Enumeration Date: Apr 10, 2014
Last Updated: Apr 10, 2014

Practice Location

Address: 510 N PASEO DE ONATE
City: Espanola
State: New Mexico
ZIP Code: 87532
Phone: (505) 753-3369

Authorized Official

Name: MRS. JIWAN KHALSA, DOM
Title: ACUPUNCTURE
Phone: (505) 753-3369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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