Individual
MR. WINFIELD SCOTT REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-2017
(505) 846-3200
Mailing address
6212 COLE LN SW, ALBUQUERQUE, NM 87105-6829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3158
NM
Other
Enumeration date
12/16/2007
Last updated
03/22/2021
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