MEDICARE: ANASTASIA CASTRO 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	MT-2025-0241	NM

General Provider Information

NPI Number	:	1710840624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANASTASIA CASTRO LMT

Provider Business Mailing Address
First Line	:	12021 SKYLINE RD NE APT 526
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-3075
Country	:	US
Telephone Number	:	404-327-2663
Fax Number	:

Provider Business Practice Location Address
First Line	:	12021 SKYLINE RD NE APT 526
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87123-3075
Country	:	US
Telephone Number	:	404-327-2663
Fax Number	:

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

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ ANASTASIA CASTRO LMT” Practice Location

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