Healthcare Provider Details

I. General information

NPI: 1487266243
Provider Name (Legal Business Name): SOHUM BODYWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2020
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2599 CAMINO CHUECO
SANTA FE NM
87505-5261
US

IV. Provider business mailing address

2599 CAMINO CHUECO
SANTA FE NM
87505-5261
US

V. Phone/Fax

Practice location:
  • Phone: 505-235-5997
  • Fax:
Mailing address:
  • Phone: 505-235-5997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number State

VIII. Authorized Official

Name: MARGARET R WEST-HOLLEY
Title or Position: OWNER
Credential: DN
Phone: 505-235-5997