Organization
WHOLISTIC PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BUTTERS P.T. (CLINICAL DIRECTOR)
(505) 891-4505
Entity
Organization
Contact information
Practice address
117 ELM CT SE, RIO RANCHO, NM 87124-8213
(505) 891-4505
Mailing address
117 ELM CT SE, RIO RANCHO, NM 87124-8213
(505) 891-4505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1217
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3914
—
NM
Enumeration date
07/19/2010
Last updated
07/19/2010
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