Organization
MCFALL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEN MCFALL RPT (OWNER)
(505) 425-7762
Entity
Organization
Contact information
Practice address
932 GALLINAS ST, SUITE 103, LAS VEGAS, NM 87701-3891
(505) 425-7762
(505) 454-0801
Mailing address
2810 HOT SPRINGS BLVD STE A, LAS VEGAS, NM 87701-4119
(505) 425-7762
(505) 454-0801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1132
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000S3555
—
NM
Enumeration date
03/27/2008
Last updated
09/05/2019
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