Kacey D Polanco, MPT

NPI #1629185574 in Truth Or Consequences, New Mexico

Provider Information

NPI Number: 1629185574
Entity Type: Individual
Name: Kacey D Polanco, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Aug 24, 2006
Last Updated: Feb 23, 2016

Practice Location

Address: 910 N DATE ST
City: Truth Or Consequences
State: New Mexico
ZIP Code: 87901-1748
Phone: (575) 894-1828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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