# UNLEASHHEALING PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Superior Spine & Sports
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316727936
- **Authorized official:** DR. TERRY L HANSEN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (214) 228-4135

## Contact information

- **Practice address:** 8400 OSUNA RD NE, ALBUQUERQUE, NM 87111-2087
- **Practice address phone:** (505) 414-8810
- **Mailing address:** 9606 FLORENCE AVE NE, ALBUQUERQUE, NM 87122-3871
- **Mailing address phone:** (214) 228-4135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 10/02/2023
- **Last updated:** 10/02/2023