Individual
TRISTAN T TANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1681 HICKORY LOOP, LAS CRUCES, NM 88005-6587
(575) 647-3773
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 647-3773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1201897
TX
225100000X
Physical Therapist
Primary
PT4930
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
12/06/2010
Last updated
04/13/2026
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