| Organization Name: | LIFESPAN THERAPY SERVICES, INC. |
| NPI Number: | 1225047459 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANUSIA KIDANE (DIRECTOR) |
| Mailing Address: | 826 Camino Del Monte Rey Ste A2 Santa Fe |
| State: | NM US |
| Postal Code: | 875053961 |
| Phone Number: | 5059549940 |
| Fax Number: | 5059549946 |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1011 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |