# TURQUOISE TRAIL PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1629078126
- **Authorized official:** MICHAEL R HOERNING PT (RPT DIRECTOR)
- **Authorized official phone:** (505) 984-2032

## Contact information

- **Practice address:** 4930 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2118
- **Practice address phone:** (505) 884-2032
- **Practice address fax:** (505) 837-2030
- **Mailing address:** PO BOX 29269, SANTA FE, NM 87592-9269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 3125 | NM | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 08/22/2020