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Individual

TAYLOR BUESSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88103-5014
(575) 784-2778
Mailing address
224 W D. L. INGRAM AVENUE BUILDING 1408, CANNON AFB, NM 88103-5014

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3744
NE
2251X0800X
Orthopedic Physical Therapist
Primary
PT5449
NM

Other

Enumeration date
07/21/2017
Last updated
10/30/2024
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