Organization
MANNON MOTION, LTD. CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KORI R MANNON MPT (OWNER)
(505) 744-5187
Entity
Organization
Contact information
Practice address
106 WARM SPRINGS BLVD, ELEPHANT BUTTE, NM 87935
(505) 744-5187
(505) 744-4911
Mailing address
PO BOX 492, ELEPHANT BUTTE, NM 87935-0492
(505) 744-5187
(505) 744-4911
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
#2194
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43683291
—
NM
Enumeration date
08/24/2006
Last updated
10/05/2007
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