MEDICARE: MYRA ARNONE 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	225700000X	Massage Therapist	0174	NM
2	225700000X	Massage Therapist	5773	OH

General Provider Information

NPI Number	:	1306966809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRA ARNONE LMT

Provider Business Mailing Address
First Line	:	8 FIREROCK PL
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87508-1325
Country	:	US
Telephone Number	:	505-473-3518
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 5TH ST
Second Line	:	SUITE 207
City	:	SANTA FE
State	:	NM
Zip	:	87505-5403
Country	:	US
Telephone Number	:	505-690-2363
Fax Number	:

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

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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Directions to “ MYRA ARNONE LMT” Practice Location

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