| Hot Springs Physical Therapy, Llc | |
|
219 Dr. Hubble Drive, Suite B, Truth Or Consequences, NM 87901 | |
| (505) 449-8762 | |
| Not Available |
| Full Name | Hot Springs Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 219 Dr. Hubble Drive, Truth Or Consequences, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467896357 | NPI | - | NPPES |
| 02823276 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3290 (New Mexico) | Primary |
| Provider Name | Kacey D Polanco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629185574 PECOS PAC ID: 0648298075 Enrollment ID: I20051220000957 |
| Provider Name | Leslie D Boone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780690941 PECOS PAC ID: 2668475278 Enrollment ID: I20061007000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Hot Springs Physical Therapy, Llc Po Box 3396, Truth Or Consequences, NM 87901-7396 Ph: (505) 449-8762 | Hot Springs Physical Therapy, Llc 219 Dr. Hubble Drive, Suite B, Truth Or Consequences, NM 87901 Ph: (505) 449-8762 |
Jean Mart Tilde Cofino, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 800 E 9th Ave, Truth Or Consequences, NM 87901 Phone: 575-894-3221 Fax: 575-894-4999 | |
Kim Keeys Jordan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 9th Ave, Truth Or Consequences, NM 87901 Phone: 505-743-1213 Fax: 505-743-1263 | |
Kacey D Polanco, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 910 N Date St, Truth Or Consequences, NM 87901 Phone: 575-894-1828 Fax: 575-894-6873 | |
Leslie Diane Boone, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 219 Dr. Hubble Drive, Suite B, Truth Or Consequences, NM 87901 Phone: 575-894-0485 Fax: 575-894-0495 | |
Jason Edward Gutierres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 414 Main Street, Truth Or Consequences, NM 87901 Phone: 505-894-7847 Fax: 505-894-7851 |