Most Relevant Information
Provider Data
| NPI Number: | 1003241761 |
| Provider Name: | STEPHEN ANTHONY MARTINEZ LMT 7573 |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 7573 |
Most Important Dates
| Enumeration Date: | 09/12/2013 |
| Last Updated: | 09/12/2013 |
Provider Practice Location
6554 ANCIENTS RD NW
ALBUQUERQUE
NM
871146111
Practice Location Phone/Fax
| Phone: | 5053200690 |
| Fax: |
Provider Mailing Location
6554 ANCIENTS RD NW
ALBUQUERQUE
NM
871146111
Provider Mailing Phone/Fax
| Phone: | 5053200690 |
| Fax: |