Individual provider · Type 1 NPI
Tracy Basler, LMT#5612
Specialist · Albuquerque, NM
NPI number
1497981229
Active
Practice location
10348 Flagstaff Dr NW
Albuquerque, NM 87114-3544
Mailing address
10348 Flagstaff Dr. NW
Albuquerque, NM 87114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 5612 (NM) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1497981229
Tracy Basler, LMT#5612's National Provider Identifier is 1497981229, issued on Jun 8, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 8, 2009.