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Organization

SANTA FE SPORTS MEDICINE AND REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDACE RUTH KENYON MS,PT (OWNER)
(505) 992-4995
Entity
Organization

Contact information

Practice address
104 OLD LAS VEGAS HWY, SUITE C, SANTA FE, NM 87505
(505) 992-4995
(505) 992-4985
Mailing address
104 OLD LAS VEGAS HWY, SUITE C, SANTA FE, NM 87505
(505) 992-4995
(505) 992-4985

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4090
NM

Other

Enumeration date
05/20/2015
Last updated
05/20/2015
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