JAKE THEIS

LOS LUNAS, NM
NPI1841032570
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  PT-2024-0157)
Enumeration Date2024-06-12
Last Update Date2024-06-17
Business Address
JAKE THEIS DPT
535 HIGHWAY 314 SW
LOS LUNAS, NM 87031-9600
Phone number: 505-866-0055
Mailing Address
JAKE THEIS DPT
535 HIGHWAY 314 SW
LOS LUNAS, NM 87031-9600
Phone number: 505-866-0055