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NPI Code Detail

MEDICARE: MUSCULOSKELETAL SPECIALISTS

MEDICARE: MUSCULOSKELETAL SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172P00000XNaprapath
2225100000XPhysical Therapist
3225700000XMassage Therapist
4171100000XAcupuncturist

General Provider Information

NPI Number : 1336681840
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUSCULOSKELETAL SPECIALISTS
Provider Business Mailing Address
First Line : 3500 TRINITY DR STE C5
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-2221
Country : US
Telephone Number : 505-412-4061
Fax Number :
Provider Business Practice Location Address
First Line : 3500 TRINITY DR STE C5
Second Line :
City : LOS ALAMOS
State : NM
Zip : 87544-2221
Country : US
Telephone Number : 505-412-4061
Fax Number :
Authorized Official
Title or Position : NAPRAPATH
Name : DR. TAYLOR DIMARINO
Credential : DN
Telephone Number : 505-412-4061
Provider Enumeration Date : 11/15/2016
Last Update Date : 09/14/2021

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Directions to “MUSCULOSKELETAL SPECIALISTS ” Practice Location

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