Healthcare Provider Details

I. General information

NPI: 1538266812
Provider Name (Legal Business Name): MCGHEE THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 ARTISAN LN UNIT B
SANTA FE NM
87507-3223
US

IV. Provider business mailing address

12 ARTISAN LN UNIT B
SANTA FE NM
87507-3223
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-8561
  • Fax: 505-989-1740
Mailing address:
  • Phone: 505-982-8561
  • Fax: 505-989-1740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE MCGHEE
Title or Position: PRESIDENT
Credential: PT
Phone: 505-982-8561