Doctor Name: | MR. MONTY BARRY |
NPI Number: | 1295736312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1661 |
Business Practice Address: | 3850 E Lohman Ave Ste 100 Las Cruces, NM - 880118288 |
Business Phone Number: | 5755210793 |
Business Fax Number: | 5755327172 |
Mailing Address: | 3850 E Lohman Ave, Ste 100 LAS CRUCES |
State: | NM |
Postal Code: | 880118288 |
Phone Number: | 5755210793 |
Fax Number: | 5755327172 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1661 |
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 |