Individual provider · Type 1 NPI

Amy Diane Lagrange, LMT

Massage Therapist · Albuquerque, NM

NPI number 1265700934 Active

Practice location

4700 Jefferson St NE, Suite 100
Albuquerque, NM 87109-2136

Call (505) 925-7464 Map

Fax (505) 925-4539

Mailing address

933 Bradbury SE, Suite 2222
Albuquerque, NM 87106-4301

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4833 (NM)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1265700934

Amy Diane Lagrange, LMT's National Provider Identifier is 1265700934, issued on Dec 8, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Albuquerque, NM. The record was last updated on Dec 8, 2011.