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Gregory Santiago, LMT
Massage Therapist in Gallup, New Mexico
NPI 1083376446

Gregory Santiago is a Massage Therapist based in Albuquerque, NM. Gregory Santiago practices in Gallup, NM and has the professional credentials of LMT. The NPI Number for Gregory Santiago is 1083376446 and holds a License No. MT9112 (New Mexico).

The current practice location address for Gregory Santiago is 1206 E Aztec Ave Ste B, Gallup, NM and can be reached out via phone at 505-239-9644 and via fax at 505-896-2958.

Location: 1206 E Aztec Ave Ste B, Gallup, NM, 87114-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083376446
Provider Name
Gregory Santiago
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1206 E Aztec Ave Ste B, Gallup, NM, 87114-1853
Phone Number
505-239-9644
Fax Number
505-896-2958
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273506899 01 NM VA
institution
Provider Business Practice Location Address Details
Address
1206 E Aztec Ave Ste B
City
Gallup
State
New Mexico
Zip
87301-5085
Phone Number
505-239-9644
Fax Number
505-896-2958
person
Provider Business Mailing Address Details
Address
1206 E Aztec Ave Ste B
City
Gallup
State
New Mexico
Zip
87301-5085
Phone Number
505-239-9644
Fax Number
505-896-2958
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT9112 (New Mexico)
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.
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