| NPI | 1396908653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G. ABBOTT Vice President 505-298-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: NM 4933) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM R38331) |
| 174400000X Specialist (Licence: NM R35692) | |
| 172M00000X Mechanotherapist (Licence: NM 5499) | |
| 172M00000X Mechanotherapist (Licence: NM 6070) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2009-09-21 |