Steven Richards, | |
4206 Highway 64 Ste A1, Kirtland, NM 87417-9416 | |
(505) 258-4175 | |
Not Available |
Full Name | Steven Richards |
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Gender | Male |
Speciality | Physical Therapist |
Location | 4206 Highway 64 Ste A1, Kirtland, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043719198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5013 (New Mexico) | Primary |
Provider Name | Willow Physical Therapy Limited |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831123165 PECOS PAC ID: 7719979400 Enrollment ID: O20040401001074 |
Provider Name | North Pole Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639238694 PECOS PAC ID: 7416940390 Enrollment ID: O20040406001298 |
Mailing Address | Practice Location Address |
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Steven Richards, 15 Apex Dr, Highland, IL 62249-1282 Ph: (618) 441-0482 | Steven Richards, 4206 Highway 64 Ste A1, Kirtland, NM 87417-9416 Ph: (505) 258-4175 |
Paul Kevin Galindo Villanueva, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4206 Us 64 Ste 1, Kirtland, NM 87417 Phone: 505-258-4175 | |
Mrs. Erica R Freeman, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 583 County Road 6100, Kirtland, NM 87417 Phone: 505-368-4984 |