Provider Demographics
NPI:1720108343
Name:ROMIG, JOEL F (LMT)
Entity Type:Individual
Prefix:MS
First Name:JOEL
Middle Name:F
Last Name:ROMIG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7717 WHITE ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-5246
Mailing Address - Country:US
Mailing Address - Phone:505-790-9079
Mailing Address - Fax:
Practice Address - Street 1:500 OAK ST NE
Practice Address - Street 2:STE 101
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4738
Practice Address - Country:US
Practice Address - Phone:505-790-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3043225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist