Provider Demographics
NPI:1700293537
Name:AMERICA'S MASSAGE & WELLNESS
Entity Type:Organization
Organization Name:AMERICA'S MASSAGE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-888-4044
Mailing Address - Street 1:2620 SAN MATEO BLVD NE
Mailing Address - Street 2:STE F
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3165
Mailing Address - Country:US
Mailing Address - Phone:505-888-4044
Mailing Address - Fax:505-888-1932
Practice Address - Street 1:2620 SAN MATEO BLVD NE
Practice Address - Street 2:STE F
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3165
Practice Address - Country:US
Practice Address - Phone:505-888-4044
Practice Address - Fax:505-888-1932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLMT 6928174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty