Doctor Name: | KARINE L TALLEY |
NPI Number: | 1952450504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT, CEAS |
License Number: | 3895 |
Business Practice Address: | 2538 Camino Entrada Suite 300 Santa Fe, NM - 875074919 |
Business Phone Number: | 5054241239 |
Business Fax Number: | 8887464761 |
Mailing Address: | 2538 Camino Entrada, Suite 300 SANTA FE |
State: | NM |
Postal Code: | 875074919 |
Phone Number: | 5054241239 |
Fax Number: | 8887464761 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 11/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3895 |
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 |