Healthcare Provider Details

I. General information

NPI: 1629915624
Provider Name (Legal Business Name): BIOMETASYN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 CONSTITUTION AVE NE
ALBUQUERQUE NM
87110-7552
US

IV. Provider business mailing address

7800 CONSTITUTION AVE NE
ALBUQUERQUE NM
87110-7552
US

V. Phone/Fax

Practice location:
  • Phone: 505-377-0036
  • Fax:
Mailing address:
  • Phone:
  • 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: MS. CHANDELLE ANA-MARIE CHAVEZ
Title or Position: NEUROMUSCULAR THERAPIST
Credential: LMT
Phone: 505-377-0036