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General NPI Number Information
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NPI Number | 1598199887
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Entity Type | Individual
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Provider Name | KATELYN D BRIGHT LMT, NCTMB, MTI
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Gender | Female
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 7156 HIGHWAY 518
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City | RANCHOS DE TAOS
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State | NM
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Zip | 87557-9795
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Country | US
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Telephone | 432-557-1687
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Fax |
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Provider Business Mailing Address
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Address Line | 7156 HIGHWAY 518
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City | RANCHOS DE TAOS
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State | NM
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Zip | 87557-9795
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Country | US
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Telephone | 432-557-1687
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT113777
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2023-0192
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License Number State | NM
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