NPI | 1801206362 |
---|---|
Doing Business As | DYNAMIX PT |
Entity Type | Organization |
Authorized Contact | KYLE ASSAD KAMAL CEO, Owner 575-415-4417 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NM 4019) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4018) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2014-05-05 |