Daniel Lee Ledbetter
Massage Therapist
216 W 1st St
Roswell
, New Mexico 88203-4602
Daniel Lee Ledbetter
Massage Therapist
216 W 1st St
Roswell
, New Mexico 88203-4602
(505) 625-5536
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Daniel Lee Ledbetter
- Po Box 204
- Hagerman, NM
- Zip : 88232-0204
- Phone : (505) 625-5536
Second Address
- Daniel Lee Ledbetter
- 216 W 1st St
- Roswell, NM
- Zip : 88203-4602
- Phone : (505) 625-5536
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3528 | NM |
National Provider Identifier
| NPI | 1003954660 |
|---|---|
| Provider Name | Daniel Lee Ledbetter |
| First Address | Hagerman, NM 88232-0204 |
| Second Address | Roswell, NM 88203-4602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00RL28 | BLUE CROSS BLUE SHIELD (01) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.