| NPI | 1255848057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN ARDEN KANODE Physical Therapist, Owner 575-742-6806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4234) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2020-10-29 |