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NPI Code Detail

MEDICARE: DANIEL CRAIG ANSBACH PHYSICAL THERAPIST

MEDICARE: DANIEL CRAIG ANSBACH PHYSICAL THERAPIST
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
1225100000XPhysical TherapistPT-2026-0133NM

General Provider Information

NPI Number : 1871425041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL CRAIG ANSBACH PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 2746 CHEYENNE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-9096
Country : US
Telephone Number : 575-222-0188
Fax Number : 575-652-4142
Provider Business Practice Location Address
First Line : 4400 N SONOMA RANCH BLVD STE B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-7343
Country : US
Telephone Number : 575-222-0188
Fax Number : 575-652-4142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ DANIEL CRAIG ANSBACH PHYSICAL THERAPIST” Practice Location

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