Organization
DYNAMIX PT
Active
Other names
DYNAMIX PT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ASSAD KAMAL PT, DPT (CEO, OWNER)
(575) 415-4417
Entity
Organization
Contact information
Practice address
407 CORONADO DR, ALAMOGORDO, NM 88310-6022
(575) 415-4417
Mailing address
407 CORONADO DR, ALAMOGORDO, NM 88310-6022
(575) 415-4417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4018
NM
225100000X
Physical Therapist
Primary
4019
NM
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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