Organization
INTEGRATED WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY HAYS (PATIENT SERVICES COORDINATOR)
(505) 899-4334
Entity
Organization
Contact information
Practice address
3615 HIGHWAY 528 NW STE 106, ALBUQUERQUE, NM 87114-8919
(505) 899-4334
(505) 792-4236
Mailing address
3615 HIGHWAY 528 NW STE 106, ALBUQUERQUE, NM 87114-8919
(505) 899-4334
(505) 792-4236
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0959
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0959
STATE OF NEW MEXICO PHYSICAL THERAPY BOARD
NM
Enumeration date
04/09/2014
Last updated
04/09/2014
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