Healthcare Provider Details

I. General information

NPI: 1073472353
Provider Name (Legal Business Name): SANDIA VIEW WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 BARBARA LOOP SE STE D
RIO RANCHO NM
87124-1011
US

IV. Provider business mailing address

4101 BARBARA LOOP SE STE D
RIO RANCHO NM
87124-1011
US

V. Phone/Fax

Practice location:
  • Phone: 505-891-2667
  • Fax:
Mailing address:
  • Phone: 505-891-2667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD JAMES BUTLER
Title or Position: CEO
Credential: DC
Phone: 505-203-6120