Audra Genduso, LMT is a
Massage Therapist based in Santa Fe, New Mexico. Audra Genduso is licensed to practice in * (Not Available) (license number ) and her current practice location is
1800 Old Pecos Trl Ste B, Santa Fe, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 690-6679.
NPI number for Audra Genduso is 1831529445 and her current mailing address is 8 Grayhawk Pl, Santa Fe, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831529445.
Healthcare Provider's Profile
Full Name | Audra Genduso |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1800 Old Pecos Trl Ste B, Santa Fe, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831529445
- Provider Enumeration Date: 11/18/2013
- Last Update Date: 03/16/2022
Medical Identifiers
Medical identifiers for Audra Genduso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831529445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CMH0216981 (New Mexico) | Secondary |
171W00000X | Contractor | 4830 (New Mexico) | Secondary |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Audra Genduso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Audra Genduso, LMT 8 Grayhawk Pl, Santa Fe, NM 87508-1332 Ph: (505) 690-6679 | Audra Genduso, LMT 1800 Old Pecos Trl Ste B, Santa Fe, NM 87505-4787 Ph: (505) 690-6679 |
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