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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDRA E. MADDOX, LMT

Active Sole Proprietor

ANDRA E. MADDOX, LMT is a Specialist healthcare provider located in EL PRADO, New Mexico. NPI 1548045941 is currently active in the NPPES registry. Verify at CMS.

Specialist · EL PRADO, NM

Registration Details

NPI Number
1548045941
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2023 (2.7896393603998 yrs)
Last Updated
Aug 25, 2023
License
MT8027 (NM)
Sole Proprietor
Yes

Practice Information

Address
98 STATE HIGHWAY 150
SUITE 7
EL PRADO, NM, 875291589
Browse NM providers · Browse ZIP 87529
Phone
5757761117
Fax
5757761119
Primary Specialty
Specialist
174400000X

Other Specialist Providers in EL PRADO, NM

Name Credential NPI
HANNAH MARIE PIERCE L.M.T. 1487355715
CALI ELIZABETH HENDERSON RN, LMT 1700613916
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.