Organization
BODY WISE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LYNN MURPHY (OWNER MANAGER)
(505) 838-1100
Entity
Organization
Contact information
Practice address
832 HIGHWAY 60, SOCORRO, NM 87801
(505) 838-1100
(505) 838-0394
Mailing address
PO BOX 342, SOCORRO, NM 87801
(505) 838-1100
(505) 838-0394
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
007210
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51859513
—
NM
Enumeration date
12/26/2006
Last updated
08/22/2020
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