Doctor Name: | RAVELLE A SMOOR-KOLLOFFEL |
NPI Number: | 1306908876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2071 |
Business Practice Address: | 2455 E.missouri Suite B Las Cruces, NM - 880015122 |
Business Phone Number: | 5755568440 |
Business Fax Number: | 5755568439 |
Mailing Address: | 2455 Missouri Ave, Suite B LAS CRUCES |
State: | NM |
Postal Code: | 880015122 |
Phone Number: | 5055568440 |
Fax Number: | 5755568439 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 05/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2071 |
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 |