Provider Demographics
NPI:1326471947
Name:ARMSTRONG, KAREN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4226 EUBANK BLVD NE
Mailing Address - Street 2:APT 2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3468
Mailing Address - Country:US
Mailing Address - Phone:505-304-5978
Mailing Address - Fax:
Practice Address - Street 1:5555 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE 12
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1460
Practice Address - Country:US
Practice Address - Phone:505-872-2917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6753174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist