| Organization Name: | NEW MEXICO PHYSICAL THERAPISTS INC |
| NPI Number: | 1033115050 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID SMITH (CEO) |
| Mailing Address: | 2211 Main St Ste. C Los Lunas |
| State: | NM US |
| Postal Code: | 87031 |
| Phone Number: | 5058851677 |
| Fax Number: | 5058551767 |
| NPI Enumeration Date: | 06/23/2005 |
| NPI Last Update Date: | 05/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |