Organization
ADVANTAGE THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLYS KIEHNE MA CCC-SLP (OWNER)
(575) 313-3643
Entity
Organization
Contact information
Practice address
14 SEVERO VIGIL RD, LEMITAR, NM 87823
(575) 313-3643
Mailing address
PO BOX 84, LEMITAR, NM 87823-0084
(575) 313-3643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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