Healthcare Provider Details

I. General information

NPI: 1265352231
Provider Name (Legal Business Name): VIBRANT TRANQUILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8205 SPAIN RD NE STE 212
ALBUQUERQUE NM
87109-3130
US

IV. Provider business mailing address

7601 JACOBO DR NE
ALBUQUERQUE NM
87109-6463
US

V. Phone/Fax

Practice location:
  • Phone: 505-263-6283
  • Fax:
Mailing address:
  • Phone: 505-263-6283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DYANNA PRESTWICH
Title or Position: MASSAGE THERAPIST/OWNER
Credential: LMT
Phone: 505-263-6283