# ALEISHA LUNDSTROM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578242558
- **Authorized official:** ALEISHA LUNDSTROM MPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (505) 270-9733

## Contact information

- **Practice address:** 98 RODEO GROUND ROAD, GRANTS, NM 87020, GRANTS, NM 87020
- **Practice address phone:** (505) 270-9733
- **Mailing address:** PO BOX 27, GRANTS, NM 87020-0027
- **Mailing address phone:** (505) 270-9733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2023
- **Last updated:** 07/17/2023