Individual
RYAN HOTCHKISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 LINNIE CT, EDGEWOOD, NM 87015-9125
(505) 286-7838
(505) 286-7838
Mailing address
PO BOX 896, EDGEWOOD, NM 87015-0896
(505) 286-7838
(505) 286-8025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5287
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342006366
—
NM
Enumeration date
06/27/2018
Last updated
06/27/2018
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