SearchNew Mexico225X00000X

Nathan Pack, MA, OTRL

NPI 1710028485 · on the registry since 2007 · sole proprietor

Practice

Address
North Highway 63
Pecos, NM 87552
Phone
(505) 757-4606
Organisation at this address
Pecos Valley Medical Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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