NPI 1851001077

Matthew Vidal Fernandez, PT

Practitioner Physical Therapist Aztec, NM

Practice location

Address: 505 N Main Ave, Aztec, NM 87410-1942
Phone: (505) 334-9616
Mailing address: 2201 N Tucker Ave APT 1, Farmington, NM 87401-8960

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT22009 (NM)

Other Physical Therapist providers in New Mexico →

Registry record

NPI: 1851001077
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2022
Record last updated: 29 Nov 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.