Lille K. Norstad, P.T.

Individual provider Active NPI Physical Therapist · Cuba, NM

NPI 1972797751 · NPPES record last updated Sep 5, 2007

Key facts

NPI
1972797751
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1431 (NM)
Practice address
50 County Rd 13
Cuba, NM 87013
Phone
(575) 289-3211
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1431NMMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1431 NM Yes

Addresses

Primary practice location

50 County Rd 13
Cuba, NM 87013

Mailing address

PO Box 70
Cuba, NM 87013-0070
Phone (575) 289-3211

Other providers in Cuba, NM

All providers in Cuba, NM · Physical Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.