Most Relevant Information
Provider Data
| NPI Number: | 1003579186 |
| Provider Name: | KATINA LOWE MASSAGE THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 6016 |
Most Important Dates
| Enumeration Date: | 10/15/2021 |
| Last Updated: | 10/15/2021 |
Provider Practice Location
705 GRACE ST NE
ALBUQUERQUE
NM
871231232
Practice Location Phone/Fax
| Phone: | 5052399644 |
| Fax: | 5058962958 |
Provider Mailing Location
10900 TANZANITE DR NW
ALBUQUERQUE
NM
871141853
Provider Mailing Phone/Fax
| Phone: | 5052399644 |
| Fax: |