Provider Demographics
NPI:1821266685
Name:RELIEF ZONE, LLC
Entity Type:Organization
Organization Name:RELIEF ZONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRIDER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:505-888-9663
Mailing Address - Street 1:540 CHAMA ST NE STE 10
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-3595
Mailing Address - Country:US
Mailing Address - Phone:505-888-9663
Mailing Address - Fax:505-888-9663
Practice Address - Street 1:540 CHAMA ST NE STE 10
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-3595
Practice Address - Country:US
Practice Address - Phone:505-888-9663
Practice Address - Fax:505-888-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM54853807172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty