Organization
SPECIAL K FITNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM NOYES P.T. (PRESIDENT/OWNER)
(505) 326-2460
Entity
Organization
Contact information
Practice address
3180 N. BUTLER AVE., BLDG. 300, FARMINGTON, NM 87401
(505) 326-2460
(505) 325-1943
Mailing address
3180 N. BUTLER AVE., BLDG. 300, FARMINGTON, NM 87401
(505) 326-2460
(505) 325-1943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1146
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00Q233
BCBS
NM
Enumeration date
09/13/2006
Last updated
10/18/2007
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