Healthcare Provider Details

I. General information

NPI: 1538669700
Provider Name (Legal Business Name): LOVING HANDS WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 02/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 ALEJANDRO ST
SANTA FE NM
87501-2379
US

IV. Provider business mailing address

401 ALEJANDRO ST
SANTA FE NM
87501-2379
US

V. Phone/Fax

Practice location:
  • Phone: 505-995-8851
  • Fax: 505-995-8685
Mailing address:
  • Phone: 505-995-8851
  • Fax: 505-995-8685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MS. SYDELE ELLA FELDMAN
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 505-995-8851