IndividualActive
Laura Bullock, LMT
NPI 1679753768 · Mechanotherapist · Las Cruces, NM
Provider details
- NPI number
- 1679753768
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4715 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
1705 N Valley Dr
Suite 2
Las Cruces, NM 88007-5121
Phone: (575) 650-6113
Approximate (ZIP-level) locationGet directions
Mailing address
4053 Shadow Run Ave
Las Cruces, NM 88011-9681
Registry dates
- Enumerated
- 2007-11-06
- Last updated
- 2007-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.