Provider Demographics
NPI:1003611369
Name:HEALTHY LYMPHATICS
Entity type:Organization
Organization Name:HEALTHY LYMPHATICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-307-0082
Mailing Address - Street 1:4317 SAN PEDRO DR NE APT A10
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2679
Mailing Address - Country:US
Mailing Address - Phone:505-307-0082
Mailing Address - Fax:
Practice Address - Street 1:4317 SAN PEDRO DR NE APT A10
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2679
Practice Address - Country:US
Practice Address - Phone:505-307-0082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty