Organization · NPI-2

Bodywise Physical Therapy , LLC

Physical Therapist · Santa Fe, NM

NPI number1659425809
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1659425809
Entity type
Organization (NPI-2)
Legal business name
Bodywise Physical Therapy , LLC
Organization subpart
No
Enumeration date
Jan 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1183NMYes
225100000X Physical Therapist965NM

Practice location

826 Camino De Monte Rey
Suite B-3
Santa Fe, NM 87505-3961

Phone 505-983-4882 · Fax 505-983-9882

Mailing address

826 Camino De Monte Rey
Suite B-3
Santa Fe, NM 87505-3961

Phone 505-983-4882 · Fax 505-983-9882

Authorized official

Heather Robertson
Co-Owner
5059834882

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