MRS. THEA CAROLYN KAVANAUGH NPI 1003635517

NPI Information

  • NPI: 1003635517
  • Provider Name: MRS. THEA CAROLYN KAVANAUGH
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 4527 GALISTEO LOOP
    LAS CRUCES, NM
    ZIP 88011
  • Phone: (575) 635-9013

Map and Directions

Get Directions

NPI Details

MRS. Thea Carolyn Kavanaugh is a recreation therapist in Las Cruces, NM. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MRS. Thea Carolyn Kavanaugh NPI is 1003635517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4527 GALISTEO LOOP
LAS CRUCES, NM
ZIP 88011-301
Phone: (575) 635-9013

The enumeration date for this NPI number is 10/10/2024 and was last updated on 10/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174H00000XHealth EducatorNo
2225800000XRecreation TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.