| Doctor Name: | MR. REUEL JOSEPH AMADOR TRIA |
| NPI Number: | 1164573119 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 3236 |
| Business Practice Address: | 300 N Kentucky Ave Roswell, NM - 882014636 |
| Business Phone Number: | 5056252571 |
| Business Fax Number: | 5056272544 |
| Mailing Address: | 700 N Missouri Ave Apt 20, ROSWELL |
| State: | NM |
| Postal Code: | 882014860 |
| Phone Number: | 5053178559 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3236 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |