| NPI | 1043006893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSI FUCHS Owner 575-607-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2026-04-06 |