Individual
CARSON JAY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 N MAIN AVE, AZTEC, NM 87410-1942
(505) 334-9616
Mailing address
505 N MAIN AVE, AZTEC, NM 87410-1942
(505) 334-9616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2025-0347
NM
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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