SOUTHWEST THERAPY & REHABILITATION NPI 1134299555

NPI Information

SOUTHWEST THERAPY & REHABILITATION is a specialist in Rio Rancho, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHWEST THERAPY & REHABILITATION NPI is 1134299555. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Star Ridsdale.

The provider's business location address is:

1005 21ST ST SE
SUITE #9
RIO RANCHO, NM
ZIP 87124-030
Phone: (505) 239-9644
Fax: (505) 896-2958

The provider's authorized official is Star Amber Ridsdale .
The authorized official title is Owner and has the following contact phone number (505) 239-9644.

The CLIA number assigned to this NPI record is 32D1048976 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 12/9/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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