Individual
LESLIE DIANE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1070 E. 3RD AVE., TRUTH OR CONSEQUENCES, NM 87901-2602
(575) 894-0485
(575) 894-0495
Mailing address
1070 E. 3RD AVE., TRUTH OR CONSEQUENCES, NM 87901-2602
(575) 894-0485
(575) 894-0495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3290
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02823276
—
NM
01
—
NM00Q572
BCBS
—
Enumeration date
07/31/2006
Last updated
05/29/2025
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