Doctor Name: | VICKI M SPEAR |
NPI Number: | 1376711663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 5855 |
Business Practice Address: | 1415 W Aztec Blvd Ste 4 Aztec, NM - 874101868 |
Business Phone Number: | 5057930079 |
Business Fax Number: | |
Mailing Address: | 16 Road 2685, AZTEC |
State: | NM |
Postal Code: | 874109737 |
Phone Number: | 5057930079 |
Fax Number: | 5053343969 |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 5855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |