Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KACEY D POLANCO, MPT
ActiveKACEY D POLANCO, MPT is a Physical Therapy Assistant healthcare provider located in TRUTH OR CONSEQUENCES, New Mexico. NPI 1629185574 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · TRUTH OR CONSEQUENCES, NM
Registration Details
- NPI Number
- 1629185574
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2006 (19.788493183872 yrs)
- Last Updated
- Feb 23, 2016
- License
-
3167 (NM)
Practice Information
- Address
-
910 N DATE STTRUTH OR CONSEQUENCES, NM, 879011748Browse NM providers · Browse ZIP 87901
- Phone
- 5758941828
- Fax
- 5758946873
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in TRUTH OR CONSEQUENCES, NM
| Name | Credential | NPI |
|---|---|---|
| LESLIE DIANE BOONE | MPT | 1780690941 |
| JASON EDWARD GUTIERRES | PT | 1811002462 |
| KIM KEEYS JORDAN | PT | 1417140633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.