Healthcare Provider Details

I. General information

NPI: 1639034143
Provider Name (Legal Business Name): SONOMA STRETCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 S WALNUT ST BLDG 7
LAS CRUCES NM
88001-1425
US

IV. Provider business mailing address

780 S WALNUT ST BLDG 7
LAS CRUCES NM
88001-1425
US

V. Phone/Fax

Practice location:
  • Phone: 575-386-5722
  • Fax: 575-386-5722
Mailing address:
  • Phone: 575-386-5722
  • Fax: 575-386-5722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LINDSEY LEMIEUX
Title or Position: OWNER
Credential:
Phone: 575-386-5722