Organization
WELLNESS WORKS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA BYRD (PT/OWNER)
(505) 983-0670
Entity
Organization
Contact information
Practice address
404 BRUNN SCHOOL RD STE D, SANTA FE, NM 87505-1102
(505) 983-0670
(505) 983-0118
Mailing address
404 BRUNN SCHOOL RD STE D, SANTA FE, NM 87505-1102
(505) 983-0670
(505) 983-0118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2941
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073575031
NPI TYPE 1
NM
Enumeration date
11/19/2015
Last updated
08/14/2019
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