MEDICARE: LISA SPIRIT MATTESON LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	7793	NM

General Provider Information

NPI Number	:	1235524356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA SPIRIT MATTESON LMT

Provider Business Mailing Address
First Line	:	13509 COPPER AVE NE APT 4
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-1746
Country	:	US
Telephone Number	:	505-269-8542
Fax Number	:

Provider Business Practice Location Address
First Line	:	13509 COPPER AVE NE APT 4
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-1746
Country	:	US
Telephone Number	:	505-269-8542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2015
Last Update Date	:	04/06/2015

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1811904246 — DR. JAMES HIRNING DC
Practice Location Address:

6001 WINTER HAVEN DR NW STE H
ALBUQUERQUE, NM
87120-1746

Practice Phone: 505-508-4534
Practice Fax:

1235801937 — EYEMART EXPRESS LLC
Practice Location Address:

6001 WINTER HAVEN DR NW STE K
ALBUQUERQUE, NM
87120-1746

Practice Phone: 505-355-1841
Practice Fax: 505-355-1849

1851134548 — WESTSIDE CHIROPRACTIC
Practice Location Address:

6001 WINTER HAVEN DR NW STE H
ALBUQUERQUE, NM
87120-1746

Practice Phone: 505-508-4534
Practice Fax:

1922930270 — ALICIA PLACENCIA
Practice Location Address:

13139 CENTRAL AVE NE
ALBUQUERQUE, NM
87123-3031

Practice Phone: 505-595-1607
Practice Fax:

1336071463 — ARMAAN KAIWAN
Practice Location Address:

13139 CENTRAL AVE NE
ALBUQUERQUE, NM
87123-3031

Practice Phone: 505-595-1607
Practice Fax:

Directions to “ LISA SPIRIT MATTESON LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.