Individual provider · Type 1 NPI

Audra Genduso, LMT

Massage Therapist · Santa Fe, NM

NPI number 1831529445 Active

Practice location

1800 Old Pecos Trl Ste B
Santa Fe, NM 87505-4787

Call (505) 690-6679 Map

Mailing address

8 Grayhawk Pl
Santa Fe, NM 87508-1332

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XCMH0216981 (NM)
Contractor 171W00000X4830 (NM)
Massage Therapist Primary 225700000XNone listed

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 1831529445

Audra Genduso, LMT's National Provider Identifier is 1831529445, issued on Nov 18, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Santa Fe, NM. The record was last updated on Mar 16, 2022.