Healthcare Provider Details

I. General information

NPI: 1083539605
Provider Name (Legal Business Name): HIGH DESERT REGENERATIVE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2905 RODEO PARK DR E BLDG 3
SANTA FE NM
87505-6313
US

IV. Provider business mailing address

2905 RODEO PARK DR E BLDG 3
SANTA FE NM
87505-6313
US

V. Phone/Fax

Practice location:
  • Phone: 505-986-1089
  • Fax: 505-986-0194
Mailing address:
  • Phone: 505-986-1089
  • Fax: 505-986-0194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTI ALSOP
Title or Position: OWNER
Credential: DOM
Phone: 505-913-9556