Healthcare Provider Details

I. General information

NPI: 1912737263
Provider Name (Legal Business Name): SATORI WHOLE BODY WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S TELSHOR BLVD STE C
LAS CRUCES NM
88011-4898
US

IV. Provider business mailing address

1900 S TELSHOR BLVD STE C
LAS CRUCES NM
88011-4898
US

V. Phone/Fax

Practice location:
  • Phone: 575-652-1133
  • Fax: 575-205-0382
Mailing address:
  • Phone: 575-652-1133
  • Fax: 575-205-0382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. NAOMI ABIGALI SUAZO
Title or Position: CEO
Credential:
Phone: 575-652-1133