Individual
MR. SHANE SASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
Mailing address
PO BOX 90893, ALBUQUERQUE, NM 87199-0893
(505) 620-5766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1968
NM
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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