Organization Name: | CUATITAS PHYSICAL & SPORTS THERAPY |
NPI Number: | 1649524117 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIO J LUCERO (MANAGER/OWNER) |
Mailing Address: | 1972 Historic Route 66 Santa Rosa |
State: | NM US |
Postal Code: | 884352767 |
Phone Number: | 5057153451 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2012 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3441 |
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 |