Provider Demographics
NPI:1376931980
Name:BETTER HEALING
Entity Type:Organization
Organization Name:BETTER HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RETHERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:909-223-9809
Mailing Address - Street 1:PO BOX 15386
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87174-0386
Mailing Address - Country:US
Mailing Address - Phone:505-433-7309
Mailing Address - Fax:
Practice Address - Street 1:872 S CAMINO DEL PUEBLO STE E
Practice Address - Street 2:
Practice Address - City:BERNALILLO
Practice Address - State:NM
Practice Address - Zip Code:87004-5958
Practice Address - Country:US
Practice Address - Phone:505-433-7309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1154261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care