Provider Demographics
NPI:1063229391
Name:ASCENZI, FRANCESCA PEARL (LMT)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:PEARL
Last Name:ASCENZI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1589
Mailing Address - Street 2:
Mailing Address - City:EL PRADO
Mailing Address - State:NM
Mailing Address - Zip Code:87529-1589
Mailing Address - Country:US
Mailing Address - Phone:575-776-1117
Mailing Address - Fax:575-776-1119
Practice Address - Street 1:98 STATE HIGHWAY 150
Practice Address - Street 2:SUITE 7
Practice Address - City:EL PRADO
Practice Address - State:NM
Practice Address - Zip Code:87529-1589
Practice Address - Country:US
Practice Address - Phone:575-776-1117
Practice Address - Fax:575-776-1119
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMT8210225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist