Organization
ATRIUM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS PRICKETT PT (VP/ TREASURER)
(575) 525-2450
Entity
Organization
Contact information
Practice address
1115 COMMERCE DR, SUITE C, LAS CRUCES, NM 88011-8247
(575) 525-2450
Mailing address
1115 COMMERCE DR, SUITE C, LAS CRUCES, NM 88011-8247
(575) 525-2450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1147
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00K8214
—
NM
01
—
201079788
PRESBYTERIAN
NM
01
—
650019370
RAILROAD MEDICARE
—
01
—
NM00N491
BCBSNM
NM
Enumeration date
09/19/2007
Last updated
11/23/2020
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