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Contact Information

LISA S MATTESON, LMT
13509 COPPER AVE NE APT 4
ALBUQUERQUE, NM87123-1746
 Phone: 505-269-8542
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LISA S MATTESON · (Female)

NPI Number 1235524356
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 04/06/2015
Last updated 04/06/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 7793
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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