Healthcare Provider Details

I. General information

NPI: 1750220034
Provider Name (Legal Business Name): MARISOL CECILIA FRANCO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 VISTA DEL VALLE
ESPANOLA NM
87532-6745
US

IV. Provider business mailing address

1802 VISTA DEL VALLE
ESPANOLA NM
87532-6745
US

V. Phone/Fax

Practice location:
  • Phone: 505-204-4241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number722
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: