MEDICARE: LOVING HANDS WELLNESS CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225700000X	Massage Therapist
2	225100000X	Physical Therapist
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1538669700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING HANDS WELLNESS CENTER

Provider Business Mailing Address
First Line	:	401 ALEJANDRO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-2379
Country	:	US
Telephone Number	:	505-995-8851
Fax Number	:	505-995-8685

Provider Business Practice Location Address
First Line	:	401 ALEJANDRO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-2379
Country	:	US
Telephone Number	:	505-995-8851
Fax Number	:	505-995-8685

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

Provider Enumeration Date	:	02/14/2018
Last Update Date	:	02/14/2018

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Directions to “LOVING HANDS WELLNESS CENTER ” Practice Location

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