Individual provider · Type 1 NPI
Berta Alicia Portillo
Massage Therapist · Socorro, NM
NPI number
1376892190
Active
Practice location
313 Hilltop
Socorro, NM 87801
Mailing address
313 Hilltop St
Socorro, NM 87801-4123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7410 (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.
Other massage therapist providers in Socorro
About NPI 1376892190
Berta Alicia Portillo's National Provider Identifier is 1376892190, issued on Sep 7, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Socorro, NM. The record was last updated on Sep 13, 2012.