Organization Name: | CHRIS WISMER PT GCFP LLC |
NPI Number: | 1265772271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE F WISMER (OWNER) |
Mailing Address: | 230 S Saint Francis Dr Ste 5 Santa Fe |
State: | NM US |
Postal Code: | 875012456 |
Phone Number: | 5052313361 |
Fax Number: | 5059891740 |
NPI Enumeration Date: | 02/27/2013 |
NPI Last Update Date: | 02/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1265 |
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 |