| NPI | 1720075880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SHULTZ Owner 505-286-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 1666) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2025-06-25 |