Healthcare Provider Details

I. General information

NPI: 1548484116
Provider Name (Legal Business Name): ROBERT D COUNTS RPH, LMT,CHOM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 LA MORADA ROAD
RANCHOS DE TAOS NM
87557-0732
US

IV. Provider business mailing address

HC 78 BOX 10732 14 LA MORADA RD
RANCHOS DE TAOS NM
87557-0732
US

V. Phone/Fax

Practice location:
  • Phone: 505-758-4001
  • Fax:
Mailing address:
  • Phone: 505-758-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number2697 MASSAGE
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number3867
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: