Physical Therapy & Sports Medicine of Northern New Mexico, Inc.

NPI #1306069224 in Aztec, New Mexico

Provider Information

NPI Number
1306069224
Entity Type
Organization
Organization Name
Physical Therapy & Sports Medicine of Northern New Mexico, Inc.
Primary Specialty
Physical Therapist
Enumeration Date
Apr 10, 2007
Last Updated
Oct 7, 2025

Practice Location

Address
505 N MAIN AVE
City
Aztec
ZIP Code
87410-1942
Phone
(505) 334-9616

Authorized Official

Name
SID MOSIMAN, PT
Title
DIRECTOR
Phone
(505) 334-9616

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Physical Therapy Assistant
Physical Therapist

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