MEDICARE: GLENDA A. SPEARS 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	MT9638	NM

General Provider Information

NPI Number	:	1669355418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLENDA A. SPEARS LMT

Provider Business Mailing Address
First Line	:	5335 SARATOGA DR NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-2281
Country	:	US
Telephone Number	:	505-463-9211
Fax Number	:

Provider Business Practice Location Address
First Line	:	3321 CANDELARIA RD NE STE 146
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-1969
Country	:	US
Telephone Number	:	505-585-1093
Fax Number	:

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

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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