| Wholistic Physical Therapy, Inc | |
|
117 Elm Ct Se Rio Rancho NM 87124-8213 | |
| (505) 891-4505 | |
| Not Available |
| Full Name | Wholistic Physical Therapy, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 117 Elm Ct Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Kim Butters (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5058914505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholistic Physical Therapy, Inc 117 Elm Ct Se Rio Rancho NM 87124-8213 Ph: (505) 891-4505 | Wholistic Physical Therapy, Inc 117 Elm Ct Se Rio Rancho NM 87124-8213 Ph: (505) 891-4505 |
| NPI Number | 1477866523 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477866523 | NPI | - | NPPES |
| D3914 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1217 (New Mexico) | Primary |
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