National Provider Identifier Database

NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE
2211C MAIN ST SE
LOS LUNAS, NM87031-8297
Phone: 505-866-1677
Fax: 505-866-1767
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE

NPI Number 1285943787
Legal business name
LBN
NEW MEXICO PHYSICAL THERAPISTS DBA VIBRANTCARE
Authorized official JENNIFER NICHOLSON - (HR)
Entity Organization
Organization subpart No
Enumeration date 09/30/2010
Last updated 09/30/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 3896

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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