IndividualActive
Thea Kavanaugh
NPI 1003635517 · Recreation Therapist · Las Cruces, NM
Provider details
- NPI number
- 1003635517
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
4527 Galisteo Loop
Las Cruces, NM 88011-4301
Registry dates
- Enumerated
- 2024-10-10
- Last updated
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.