MEDICARE: DEBORAH A RESINGER PTA

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
1	225200000X	Physical Therapy Assistant	A-0442	NM

General Provider Information

NPI Number	:	1184617920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A RESINGER PTA

Provider Business Mailing Address
First Line	:	PO BOX 1284
Second Line	:
City	:	ARTESIA
State	:	NM
Zip	:	88211-1284
Country	:	US
Telephone Number	:	505-746-2566
Fax Number	:	505-746-6260

Provider Business Practice Location Address
First Line	:	601 W MAHONE DR
Second Line	:
City	:	ARTESIA
State	:	NM
Zip	:	88210-2080
Country	:	US
Telephone Number	:	505-746-2566
Fax Number	:	505-746-6260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	07/08/2007

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Directions to “ DEBORAH A RESINGER PTA” Practice Location

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