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Teisha South, PTA
NPI 1396106720 · on the registry since 2016
Practice
- Address
- 3501 N Butler Ave
Suite 101
Farmington, NM 87401 - Phone
- (505) 326-0064
- Organisation at this address
- Dds Catalyst Farmington, Llc
3501 North Butler Avenue Farmington Professional LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico