DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FUNCTION AND FORM PHYSICAL THERAPY LLC

Active Organization

FUNCTION AND FORM PHYSICAL THERAPY LLC is a Physical Therapy Assistant organization located in SANTA TERESA, New Mexico. NPI 1124646294 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SANTA TERESA, NM

Registration Details

NPI Number
1124646294
Provider Type
Organization
NPI Issued
Jul 6, 2020 (6.1127301137163 yrs)
Last Updated
Mar 28, 2021

Practice Information

Address
5312 RIO BRAVO DR STE 7
SANTA TERESA, NM, 880089210
Browse NM providers · Browse ZIP 88008
Phone
5752013764
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Organizations in SANTA TERESA, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.