MEDICARE: DANNY E CADENA

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	6340	NM

General Provider Information

NPI Number	:	1881926707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY E CADENA

Provider Business Mailing Address
First Line	:	1625 GLADYS DR APT 11
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-5191
Country	:	US
Telephone Number	:	575-621-0296
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 WYATT DR STE 8
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2962
Country	:	US
Telephone Number	:	575-621-0296
Fax Number	:

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

Provider Enumeration Date	:	02/03/2010
Last Update Date	:	02/03/2010

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Directions to “ DANNY E CADENA ” Practice Location

Language	Start Address	Practice Location

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