| NPI | 1215055439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LYNN HURST Owner 575-625-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-10-27 |