Organization Name: | SUMMIT REHABILITATION LLC |
NPI Number: | 1477542041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON MARIE STEVENS (PHYSICAL THERAPIST/MANAGING PARTNER) |
Mailing Address: | 722 E Florida St Deming |
State: | NM US |
Postal Code: | 880305310 |
Phone Number: | 5055462555 |
Fax Number: | 5055462725 |
NPI Enumeration Date: | 10/17/2005 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2570 |
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 |