| Kimberly Nicole Sta Ana Henson, PT | |
|
1609 N Prince St, Clovis, NM 88101-4850 | |
| (575) 935-0360 | |
| (575) 935-0361 |
| Full Name | Kimberly Nicole Sta Ana Henson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1609 N Prince St, Clovis, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508559964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6123 (New Mexico) | Primary |
| Provider Name | Physical Therapy Care Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255848057 PECOS PAC ID: 2668734310 Enrollment ID: O20180319000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Nicole Sta Ana Henson, PT 6 N Oak St, Perryville, MO 63775-2733 Ph: (573) 768-5958 | Kimberly Nicole Sta Ana Henson, PT 1609 N Prince St, Clovis, NM 88101-4850 Ph: (575) 935-0360 |
Jennifer Bowman-campbell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 N Norris St, Clovis, NM 88101 Phone: 575-762-3753 | |
Janet Lynn Baker-davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Dillon St., Clovis, NM 88101 Phone: 575-769-7358 Fax: 575-769-7289 | |
Nola Pawol, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Dillon Rd, Clovis, NM 88101 Phone: 575-769-7356 Fax: 575-769-7289 | |
Mr. Donald Ray Hudson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 W 21st St, Clovis, NM 88101 Phone: 575-762-4705 | |
Interim Healthcare Of Clovis Physical Therapist Medicare: Medicare Enrolled Practice Location: 2300 N Main St Ste 19, Clovis, NM 88101 Phone: 575-769-0049 Fax: 575-742-3368 | |
Physical Therapy Care, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1609 N Prince St, Clovis, NM 88101 Phone: 575-742-6806 | |
Dr. Rebecca Marie Courtoy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Sutter Pl, Clovis, NM 88101 Phone: 575-769-4490 Fax: 575-769-4330 |