Organization
DESERT GRACE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSI FUCHS PTA (OWNER)
(575) 607-5371
Entity
Organization
Contact information
Practice address
210 S 4TH ST, SANTA ROSA, NM 88435-2313
(575) 607-5371
Mailing address
1270 HOLLIS RD, SANTA ROSA, NM 88435-3715
(575) 607-5371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/06/2026
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