Individual provider · NPI-1

Spring Beavers, PTA

Physical Therapy Assistant · Santa Fe, NM

NPI number1669015350
StatusActive
Last updated in NPPESOct 24, 2019

Details

NPI
1669015350
Entity type
Individual (NPI-1)
Name
Spring Beavers
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 24, 2019
Last updated
Oct 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA1471NMYes

Practice location

8 Calle Medico
Santa Fe, NM 87505-4724

Phone 505-424-8777

Mailing address

3005 S St Francis Dr. #461
Ste 1-D
Santa Fe, NM 87505

Phone 505-977-7331

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