Individual
AMRYN AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(505) 266-3655
Mailing address
2720 CENTRAL AVE SE STE G-556, ALBUQUERQUE, NM 87106-2862
(406) 471-1608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5432
NM
225100000X
Physical Therapist
PTP-PT-LIC-15068
MT
Other
Enumeration date
09/13/2018
Last updated
07/24/2019
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