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Organization

MATRIX OUTPATIENT THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATE CONNOLLY MSN, RN (ADMINISTRATOR)
(575) 525-8755
Entity
Organization

Contact information

Practice address
1100 S MAIN ST STE C, LAS CRUCES, NM 88005-2917
(575) 525-8755
(575) 525-8795
Mailing address
1100 S MAIN ST STE C, LAS CRUCES, NM 88005-2917
(575) 525-8755
(575) 525-8795

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/15/2025
Last updated
08/15/2025
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