Taos Sports Medicine Serices LLC
NPI #1659689347 in Angel Fire, New Mexico
Provider Information
- NPI Number
- 1659689347
- Entity Type
- Organization
- Organization Name
- Taos Sports Medicine Serices LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TAOS SPORTS MEDICINE SERVICES, LLC
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Sep 16, 2010
- Last Updated
- Sep 16, 2010
Practice Location
- Address
- 12 CRESTVIEW DRIVE
- Address 2
- STE 1S
- City
- Angel Fire
- State
- New Mexico
- ZIP Code
- 87710-0489
- Phone
- (575) 377-1900
Authorized Official
- Name
- JOCELYN LUCERO
- Title
- OFFICE MANAGER
- Phone
- (575) 737-0304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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