MEDICARE: MCGHEE THERAPY INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538266812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGHEE THERAPY INC.

Provider Business Mailing Address
First Line	:	12 ARTISAN LN
Second Line	:	UNIT B
City	:	SANTA FE
State	:	NM
Zip	:	87507-3223
Country	:	US
Telephone Number	:	505-982-8561
Fax Number	:	505-989-1740

Provider Business Practice Location Address
First Line	:	12 ARTISAN LN
Second Line	:	UNIT B
City	:	SANTA FE
State	:	NM
Zip	:	87507-3223
Country	:	US
Telephone Number	:	505-982-8561
Fax Number	:	505-989-1740

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CONSTANCE MCGHEE
Credential	:	PT
Telephone Number	:	505-982-8561

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/13/2017

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Directions to “MCGHEE THERAPY INC. ” Practice Location

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