Healthcare Provider Details

I. General information

NPI: 1740692755
Provider Name (Legal Business Name): SMOOTH QI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2014
Last Update Date: 09/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6739 ACADEMY RD NE SUITE 254
ALBUQUERQUE NM
87109-3351
US

IV. Provider business mailing address

6739 ACADEMY RD NE SUITE 254
ALBUQUERQUE NM
87109-3351
US

V. Phone/Fax

Practice location:
  • Phone: 505-440-8250
  • Fax: 801-655-7382
Mailing address:
  • Phone: 505-440-8250
  • Fax: 801-655-7382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number1096
License Number StateNM

VIII. Authorized Official

Name: DR. EMILY FERREIRA
Title or Position: DOCTOR OF ORIENTAL MEDICINE/CEO
Credential: DOM
Phone: 505-440-8250