| NPI | 1952298051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE HESSER Manager 575-496-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |