Healthcare Provider Details

I. General information

NPI: 1811900152
Provider Name (Legal Business Name): ARNIE ARONSON PHYSICAL THERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 S GOLD AVE STE A
DEMING NM
88030-3755
US

IV. Provider business mailing address

122 S GOLD AVE STE A
DEMING NM
88030-3755
US

V. Phone/Fax

Practice location:
  • Phone: 575-283-0200
  • Fax: 575-283-0238
Mailing address:
  • Phone: 575-283-0200
  • Fax: 575-283-0238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number022402-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: