NPI 1003635517

Thea Carolyn Kavanaugh

Practitioner Recreation Therapist Las Cruces, NM

Practice location

Address: 4527 Galisteo Loop, Las Cruces, NM 88011-4301
Phone: (575) 635-9013

Registered specialties (2)

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Health Educator

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1003635517
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2024
Record last updated: 10 Oct 2024

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.