| Direct Therapy Services, Llp | |
|
1090 Med Park Dr Las Cruces NM 88005-3236 | |
| (575) 523-7243 | |
| (575) 525-5641 |
| Full Name | Direct Therapy Services, Llp |
|---|---|
| Speciality | Specialist |
| Location | 1090 Med Park Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Beatrice Sandoval (OFFICE MANAGER) |
| Authorized Official Contact | 5755237243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Therapy Services, Llp 301 Perkins Dr Ste C Suite C Las Cruces NM 88005-3248 Ph: (575) 523-7243 | Direct Therapy Services, Llp 1090 Med Park Dr Las Cruces NM 88005-3236 Ph: (575) 523-7243 |
| NPI Number | 1386753010 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 01/24/2017 |
| Medicare PECOS PAC ID | 4789968934 |
|---|---|
| Medicare Enrollment ID | O20170307001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386753010 | NPI | - | NPPES |
| 04201736 | Medicaid | NM |
| Provider Name | Gregory Goldblatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790780385 PECOS PAC ID: 3779512900 Enrollment ID: I20051018000071 |
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