Accelerated Therapy & Wellness, LLC
Clinic/Center, Physical Therapy in Santa Fe, NM. Organization (NPI-2).
NPI number1770960643
StatusActive
Last updated in NPPESApr 30, 2015
Details
- NPI
- 1770960643
- Entity type
- Organization (NPI-2)
- Legal business name
- Accelerated Therapy & Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2015
- Last updated
- Apr 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 5038782 | NM | Yes |
Practice location
1418 Luisa St Ste 4Santa Fe, NM 87505-4091
Phone 915-373-3453
Mailing address
1418 Luisa St Ste 4Santa Fe, NM 87505-4091
Phone 915-373-3453
Authorized official
Kandi S Pester
Owner
9153733453
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