Individual provider · NPI-1

Robert O Bachicha, PT

Massage Therapist · Santa Fe, NM

NPI number1578866968
StatusActive
Last updated in NPPESDec 7, 2010

Details

NPI
1578866968
Entity type
Individual (NPI-1)
Name
Mr. Robert O Bachicha
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Dec 7, 2010
Last updated
Dec 7, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist2090NMYes
225100000X Physical Therapist2606NM

Other names

  • Robert O Bachicha (Professional Name)

Practice location

4152 Soaring Eagle Ln
Santa Fe, NM 87507-0817

Phone 505-470-2082 · Fax 505-473-3100

Mailing address

4152 Soaring Eagle Ln
Santa Fe, NM 87507-0817

Phone 505-470-2082 · Fax 505-473-3100

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