| Lisa Crenshaw, | |
|
1400 Sudderth Dr, Ruidoso, NM 88345-6103 | |
| (505) 257-2368 | |
| (505) 257-2141 |
| Full Name | Lisa Crenshaw |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1400 Sudderth Dr, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285712158 | NPI | - | NPPES |
| 89908 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 880 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Crenshaw, 1400 Sudderth Dr, Ruidoso, NM 88345-6103 Ph: (505) 257-2368 | Lisa Crenshaw, 1400 Sudderth Dr, Ruidoso, NM 88345-6103 Ph: (505) 257-2368 |
Mrs. Roberta Renee Regalado, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 628 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-5820 Fax: 575-257-9560 | |
Mr. Ryan David Biricocchi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 505-257-5820 Fax: 505-257-9560 | |
Dana M Wade, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1129 Mechem Dr Ste C, Ruidoso, NM 88345 Phone: 575-808-8721 Fax: 575-808-8723 | |
Mr. Ian Christopher Paul, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820 | |
Lydia C. Radosevich, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 439 Mechem Dr, Ruidoso, NM 88345 Phone: 505-257-1800 Fax: 505-257-2319 | |
Marla Loree Wall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 Mescalero Trl, Ruidoso, NM 88345 Phone: 575-257-5820 | |
Ruidoso Physical Therapy Clinic, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 439 Mechem Dr, Ruidoso, NM 88345 Phone: 575-257-1800 Fax: 575-257-2319 |