David Zuflacht, PT, MSC, DPT, PHD
Individual provider Active NPI Physical Therapist · Dulce, NM
NPI 1346430311 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1346430311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- VI69 (VI)
- Practice address
- 500 N Mundo
Dulce, NM 87528 - Phone
- (575) 759-3291
- Fax
- (575) 759-3532
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VI69 | VI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jicarilla IHS Pharmacy | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | VI69 | VI | Yes |
Addresses
Primary practice location
500 N Mundo
Dulce, NM 87528
Mailing address
PO Box 187
Dulce, NM 87528-0187
Phone (575) 759-7249
Other providers in Dulce, NM
All providers in Dulce, NM · Physical Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.