| Special K Fitness, Inc. | |
|
3180 N. Butler Ave., Bldg. 300, Farmington, NM 87401 | |
| (505) 326-2460 | |
| (505) 325-1943 |
| Full Name | Special K Fitness, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3180 N. Butler Ave., Farmington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376648733 | NPI | - | NPPES |
| NM00Q233 | Other | NM | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1146 (New Mexico) | Primary |
| Provider Name | Kim M Noyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467557827 PECOS PAC ID: 9335145788 Enrollment ID: I20120302000057 |
| Provider Name | Wendy D Bircher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104033539 PECOS PAC ID: 4284863887 Enrollment ID: I20140130001371 |
| Provider Name | Amy L Cooper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205898863 PECOS PAC ID: 6103890496 Enrollment ID: I20140327000333 |
| Provider Name | Aimee L Georgina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861978009 PECOS PAC ID: 6103179387 Enrollment ID: I20181106000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Special K Fitness, Inc. 3180 N. Butler Ave., Bldg. 300, Farmington, NM 87401 Ph: (505) 326-2460 | Special K Fitness, Inc. 3180 N. Butler Ave., Bldg. 300, Farmington, NM 87401 Ph: (505) 326-2460 |
Mr. Roger G. Rung, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Farmington Ave, Farmington, NM 87401 Phone: 505-326-0761 | |
Anne Tolman Price, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-325-2511 | |
Mr. Greg David Mcmanus, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 511 E 20th St, Farmington, NM 87401 Phone: 505-326-0064 Fax: 505-327-3995 | |
Four Corners Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3832 E Main St, Units E & F, Farmington, NM 87402 Phone: 505-564-2955 Fax: 505-564-2662 | |
Katherine Reardon, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3832 E Main St, Units E And F, Farmington, NM 87402 Phone: 505-564-2955 Fax: 505-564-2662 | |
Neerly Famous Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 E 20th St., Suite #4, Farmington, NM 87401 Phone: 505-325-8360 Fax: 505-327-2424 | |
Caryl Ventura, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Hutton Ave, Farmington, NM 87402 Phone: 505-215-0179 |