Organization
UNLEASHHEALING PC
Active
Other names
Superior Spine & Sports
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L HANSEN MD (MEDICAL DIRECTOR)
(214) 228-4135
Entity
Organization
Contact information
Practice address
8400 OSUNA RD NE, ALBUQUERQUE, NM 87111-2087
(505) 414-8810
Mailing address
9606 FLORENCE AVE NE, ALBUQUERQUE, NM 87122-3871
(214) 228-4135
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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