IndividualActive
Kacey Polanco, MPT
NPI 1629185574 · Physical Therapist · Truth Or Consequences, NM
Provider details
- NPI number
- 1629185574
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- License
- 3167 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
910 N Date St
Truth Or Consequences, NM 87901-1748
Phone: (575) 894-1828
Fax: (575) 894-6873
Approximate (ZIP-level) locationGet directions
Mailing address
910 N Date St
Truth Or Consequences, NM 87901-1748
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2016-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.