Individual
DENNIS L PRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1115 COMMERCE DR, SUITE C, LAS CRUCES, NM 88011
(575) 525-2450
(575) 522-9075
Mailing address
1115 COMMERCE DR, SUITE C, LAS CRUCES, NM 88011-8247
(575) 525-2450
(575) 522-9075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1147
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K8214
—
NM
Enumeration date
05/31/2005
Last updated
02/08/2022
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