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Storm Reilly
NPI 1144547043 · on the registry since 2010 · sole proprietor
Practice
- Address
- 510 N Paseo De Onate
Espanola, NM 87532 - Phone
- (505) 753-3369
- Fax
- (505) 753-4006
- Organisation at this address
- Shakti Clinic Llc
Grd Health Clinic LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico