NPI 1326452707

Amplified Therapy INC

Organisation Early Intervention Provider Agency Cliff, NM

Practice location

Address: 94 Box Canyon Rd., Cliff, NM 88028
Phone: (575) 590-0824
Mailing address: PO Box 86, Cliff, NM 88028-0086

Authorised official

Name: Autumn Annette Bruton
Title: Chief Executive Officer
Phone: (575) 590-0824

Registered specialties (4)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 2263 (NM)

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 3083 (NM)

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4700 (NM)

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Registry record

NPI: 1326452707
Entity type: Organization
NPI issued: 13 Jun 2014
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.