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Contact Information

JON NICASTRO, PT
2205 S MAIN ST
LAS CRUCES, NM88005-3113
 Phone: 575-652-3515
 Fax: 575-652-3518
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JON NICASTRO · (Male)

NPI Number 1003001140
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 09/12/2007
Last updated 10/27/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 4491
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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