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Taos Sports Medicine Serices Llc
Orthopedic Physical Therapist in Angel Fire, New Mexico
NPI 1659689347

Taos Sports Medicine Serices Llc is a Orthopedic Physical Therapist based in Taos, NM and is specialized in Orthopedic. Taos Sports Medicine Serices Llc practices in Angel Fire, NM. The NPI Number for Taos Sports Medicine Serices Llc is 1659689347 and holds a License No. 3072B1 (New Mexico).

The current practice location address for Taos Sports Medicine Serices Llc is 12 Crestview Drive, Angel Fire, NM and can be reached out via phone at 575-377-1900 and via fax at 575-377-2383.

Location: 12 Crestview Drive, Angel Fire, NM, 87571-6397
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659689347
Provider Name
Taos Sports Medicine Serices Llc
Credential
Provider Entity Type
Organization
Address
12 Crestview Drive, Angel Fire, NM, 87571-6397
Phone Number
575-377-1900
Fax Number
575-377-2383
Provider Enumeration Date
09/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43383386 05 NM
700521047 01 NM MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
12 Crestview Drive
City
Angel Fire
State
New Mexico
Zip
87710-0489
Phone Number
575-377-1900
Fax Number
575-377-2383
person
Provider Business Mailing Address Details
Address
12 Crestview Drive
City
Angel Fire
State
New Mexico
Zip
87710-0489
Phone Number
575-377-1900
Fax Number
575-377-2383
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
3072B1 (New Mexico)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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