Individual
RACHAEL E HAVERPORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1011 10TH ST, A, ALAMOGORDO, NM 88310-6425
(575) 439-9878
(575) 439-9876
Mailing address
2436 CHERRY HILLS DR, ALAMOGORDO, NM 88310-7740
(575) 439-9878
(575) 439-9876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4296
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4296
PHYSICAL THERAPY LICENSE
NM
Enumeration date
06/09/2013
Last updated
06/09/2013
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