Individual
MICHAEL HOERNING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
786A N SAINT FRANCIS DR, SANTA FE, NM 87501-5100
(505) 984-2032
(505) 984-0738
Mailing address
PO BOX 29269, SANTA FE, NM 87592-9269
(505) 984-2032
(505) 984-0738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
778
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778
STATE OF NM REG & LIC
NM
05
—
82178836
—
NM
Enumeration date
08/12/2005
Last updated
07/08/2007
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