Individual provider · Type 1 NPI
Andra E. Maddox, LMT
Specialist · El Prado, NM
NPI number
1548045941
Active
Practice location
98 State Highway 150, Suite 7
El Prado, NM 87529-1589
Fax (575) 776-1119
Mailing address
PO Box 1589
El Prado, NM 87529-1589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT8027 (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.
3 other providers at this address
Other specialist providers in El Prado
About NPI 1548045941
Andra E. Maddox, LMT's National Provider Identifier is 1548045941, issued on Aug 25, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in El Prado, NM. The record was last updated on Aug 25, 2023.