Individual
RONALD C HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
414 SIPAPU ST, TAOS, NM 87571
(505) 758-8761
(505) 751-0448
Mailing address
6955 NDCBU, TAOS, NM 87571
(505) 758-8761
(505) 751-0448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
262
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N5566
—
NM
Enumeration date
02/10/2006
Last updated
10/17/2012
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