MEDICARE: MISS CONNIE OLIVER

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	7245	NM

General Provider Information

NPI Number	:	1891129672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CONNIE OLIVER

Provider Business Mailing Address
First Line	:	510 N PASEO DE ONATE
Second Line	:
City	:	ESPANOLA
State	:	NM
Zip	:	87532-2618
Country	:	US
Telephone Number	:	505-753-3369
Fax Number	:	505-753-4006

Provider Business Practice Location Address
First Line	:	510 N PASEO DE ONATE
Second Line	:
City	:	ESPANOLA
State	:	NM
Zip	:	87532-2618
Country	:	US
Telephone Number	:	505-753-3369
Fax Number	:	505-753-4006

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

Provider Enumeration Date	:	08/28/2013
Last Update Date	:	08/28/2013

Similar Medicare Providers

1780689034 — EL CENTRO FAMILY HEALTH
Practice Location Address:

538 N PASEO DE ONATE
ESPANOLA, NM
87532-2618

Practice Phone: 505-753-7218
Practice Fax: 505-747-7396

1477564029 — LA FARMACIA
Practice Location Address:

544 N PASEO DE ONATE
ESPANOLA, NM
87532-2618

Practice Phone: 505-753-2327
Practice Fax:

1487983904 — MR. NATHANIEL FUENTES LMT
Practice Location Address:

510 N PASEO DE ONATE
ESPANOLA, NM
87532-2618

Practice Phone: 505-753-3369
Practice Fax: 505-753-4006

1760712830 — JOT KAUR KHALSA LMT
Practice Location Address:

510 N PASEO DE ONATE
ESPANOLA, NM
87532-2618

Practice Phone: 505-753-3369
Practice Fax: 505-753-4006

1144547043 — MS. STORM L REILLY
Practice Location Address:

510 N PASEO DE ONATE
ESPANOLA, NM
87532-2618

Practice Phone: 505-753-3369
Practice Fax: 505-753-4006

1124315577 — GRD HEALTH CLINIC LLC
Practice Location Address:

510 N PASEO DE ONATE
ESPANOLA, NM
87532-2618

Practice Phone: 505-753-3369
Practice Fax: 505-753-4006

Directions to “ MISS CONNIE OLIVER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.