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Contact Information

SUSAN T LEHERISSEY, LMT
37 UPPER LLANO RD
LLANO, NM87543
 Phone: 575-587-2063
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SUSAN T LEHERISSEY · (Female)

NPI # 1740443738
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 07/09/2008
Last updated 07/09/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1790
  • NM Other 1790 LICENSE NUMBER
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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