Individual
SUSAN KALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31 VERDOLAGA ROAD, EL PRADO, NM 87529
(575) 770-1700
Mailing address
PO BOX 2081, RANCHOS DE TAOS, NM 87557-2081
(575) 770-1700
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5992
NM
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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