Organization
MYOFASCIAL REHABILITATION CENTER, LTD.
Active
Organization
MYOFASCIAL REHABILITATION CENTER, LTD.
Active
Other names
MyoRehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE SERGIO PELLEGRINO LMT, CMTPT (VICE PRESIDENT)
(505) 872-3100
Entity
Organization
Contact information
Practice address
4308 CARLISLE BLVD NE, SUITE 207, ALBUQUERQUE, NM 87107-4856
(505) 872-3100
(505) 872-2600
Mailing address
PO BOX 91763, ALBUQUERQUE, NM 87199-1763
(505) 872-3100
(505) 872-2600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2193
NM
225700000X
Massage Therapist
4498
NM
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up