NPI: 1740556893 · LOS RANCHOS, NM 87107 · Clinic/Center · NPI assigned 03/22/2012
| Authorized Official | WIESE, KRISTEN (OWNER / OPERATOR) |
| NPI Enumeration Date | 03/22/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 52 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 52 | 13 | $5K |