OrganizationActive
Taos Sports Medicine Serices LLC
NPI 1659689347 · Orthopedic Physical Therapist · Angel Fire, NM
Provider details
- NPI number
- 1659689347
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Taos Sports Medicine Services, LLC
- Organization subpart
- Yes
- Authorized official
- Jocelyn Lucero, Office Manager(575) 737-0304
- License
- 3072B1 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12 Crestview Drive
Ste 1s
Angel Fire, NM 87710-0489
Phone: (575) 377-1900
Fax: (575) 377-2383
Approximate (ZIP-level) locationGet directions
Mailing address
1398 Weimer Rd
Taos, NM 87571-6397
Other names (DBA / former)
- Doing business as
- Angel Fire Physical Therapy
Registry dates
- Enumerated
- 2010-09-16
- Last updated
- 2010-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.