Organization
VIDA THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM WESTENHOFER OTR/L, CHT (OWNER)
(575) 283-0200
Entity
Organization
Contact information
Practice address
122 S GOLD AVE STE A, DEMING, NM 88030-3755
(575) 283-0200
(575) 283-0238
Mailing address
122 S GOLD AVE STE A, DEMING, NM 88030-3755
(575) 283-0200
(575) 283-0238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82271551
—
NM
Enumeration date
02/05/2022
Last updated
01/28/2025
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