Provider Demographics
NPI:1649499534
Name:NAPRAPATHIC MEDICINE OF NEW MEXICO
Entity type:Organization
Organization Name:NAPRAPATHIC MEDICINE OF NEW MEXICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF NAPRAPATHY
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVISTA
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:505-424-8990
Mailing Address - Street 1:3600 CERRILLOS RD
Mailing Address - Street 2:SUITE 407
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-2612
Mailing Address - Country:US
Mailing Address - Phone:505-424-8990
Mailing Address - Fax:505-424-6377
Practice Address - Street 1:3600 CERRILLOS RD
Practice Address - Street 2:SUITE 407
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-2612
Practice Address - Country:US
Practice Address - Phone:505-424-8990
Practice Address - Fax:505-424-6377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0003172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Single Specialty