| NPI | 1710349220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURT JASON CHAVEZ Owner 505-872-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2018-06-13 |