| NPI | 1003454893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE LUEKING Owner/Physical Therapist 505-231-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2025-01-25 |