| Zia Therapy And Pain Relief Inc | |
|
1005 21st St Se Ste 6 Rio Rancho NM 87124-4030 | |
| (978) 618-7500 | |
| Not Available |
| Full Name | Zia Therapy And Pain Relief Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1005 21st St Se Ste 6, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Evan Stuart (PROVIDER) |
| Authorized Official Contact | 9786187500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zia Therapy And Pain Relief Inc 1005 21st St Se Ste 6 Rio Rancho NM 87124-4030 Ph: (978) 618-7500 | Zia Therapy And Pain Relief Inc 1005 21st St Se Ste 6 Rio Rancho NM 87124-4030 Ph: (978) 618-7500 |
| NPI Number | 1194586362 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 9133562416 |
|---|---|
| Medicare Enrollment ID | O20240205001074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194586362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Evan Michael Stuart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902131329 PECOS PAC ID: 5496153975 Enrollment ID: I20211013003692 |
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