Charles Ashley Eidson, PT, MS

Physical Therapist · Pecos, NM

Individual Active NPI

NPI number 1528196706

Practice location

Pecos Schools Hwy 63
Pecos, NM 87552-0368
Phone
(505) 757-4644
Fax
(505) 757-3049

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NPI record

NPI
1528196706
Entity type
Individual (Type 1)
Enumeration date
March 1, 2007
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 1322 NM

Mailing address

PO Box 368
Pecos, NM 87552-0368
Phone
(505) 757-4644
Fax
(505) 757-3049

About Charles Eidson

Charles Ashley Eidson, PT, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is Pecos Schools Hwy 63, Pecos, NM 87552-0368. The NPI number 1528196706 was assigned on March 1, 2007 and the record was last updated on July 9, 2007.

Charles Eidson lists a license in the registry: #1322 (NM) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Ashley Eidson, PT, MS?

The NPI number is 1528196706.

What is the phone number of Charles Eidson?

The phone number listed for the practice location is (505) 757-4644.

Where is Charles Eidson located?

Pecos Schools Hwy 63, Pecos, NM 87552-0368.

What is the taxonomy code for Charles Eidson?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.