MEDICARE: JONATHAN BITTNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT-2025-0255	NM

General Provider Information

NPI Number	:	1700739638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN BITTNER

Provider Business Mailing Address
First Line	:	930 LOPEZ ST UNIT C
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-2421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 LUISA ST STE R
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4073
Country	:	US
Telephone Number	:	505-557-6140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ JONATHAN BITTNER ” Practice Location

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