Southwest Sport and Spine Center INC
NPI #1164475208 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1164475208
- Entity Type
- Organization
- Organization Name
- Southwest Sport and Spine Center INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 18, 2006
- Last Updated
- May 8, 2008
Practice Location
- Address
- 2404 S LOCUST ST
- Address 2
- STE 5
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-5789
- Phone
- (505) 521-4188
Authorized Official
- Name
- MRS. LAURIE DENISE CAMPBELL, PT
- Title
- DIRECTOR
- Phone
- (505) 521-4188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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