Organization
SF SPORTS MD & REHAB
Active
Organization
SF SPORTS MD & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE RUTH KENYN P.T. (OWNER)
(505) 992-4995
Entity
Organization
Contact information
Practice address
104C OLD LAS VEGAS HIGHWAY, SANTA FE, NM 87505
(505) 992-4995
(505) 992-4985
Mailing address
104C OLD LAS VEGAS HIGHWAY, SANTA FE, NM 87505
(505) 992-4995
(505) 992-4985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4090
NM
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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