Organization
BODY WISE THERAPY SERVICES LLC
Active
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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