Whalio Doctors

NPI 1346705936

Samantha L Brady, PTDPT

Practitioner Physical Therapist Clovis, NM

Practice location

Address
2217 Dillon Rd, Clovis, NM 88101-9454
Phone
(575) 769-7356
Mailing address
1625 S Avenue C, Portales, NM 88130-7207

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5107 (NM)

Registry record

NPI
1346705936
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Feb 2019
Record last updated
7 Feb 2019

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.