Genduso, Audra

Genduso, Audra is an sole proprietor health care provider with primary practice located at 1800 Old Pecos Trl Ste B , Santa Fe NM 87505-4787. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Genduso, Audra can be contacted via phone (505) 690-6679.

Contact Information

Primary practice address
1800 Old Pecos Trl Ste B Santa Fe NM 87505-4787
Phone: (505) 690-6679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CMH0216981 New Mexico
Other Service Providers / Contractor 171W00000X 4830 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1831529445
LBN Legal business name Genduso, Audra
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2013
Last updated Mar 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers