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Organization

RENEW PHYSICAL THERAPY PC

Active
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Organization

RENEW PHYSICAL THERAPY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM PARKER-GUERRERO DPT (OWNER/PROVIDER)
(575) 214-2355
Entity
Organization

Contact information

Practice address
1400A N WASHINGTON AVE # 7, ROSWELL, NM 88201-8267
(575) 214-2355
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(575) 214-2355
(575) 286-0284

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
59509856
NM
Enumeration date
05/25/2023
Last updated
07/29/2026
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.

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