Provider Demographics
NPI:1841345592
Name:TORBETT, RONALD C (PT)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:C
Last Name:TORBETT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:15 BILOTTO DR.
Mailing Address - City:CEDAR CREST
Mailing Address - State:NM
Mailing Address - Zip Code:87008-0966
Mailing Address - Country:US
Mailing Address - Phone:505-980-7856
Mailing Address - Fax:505-281-0867
Practice Address - Street 1:15 BILOTTO DR.
Practice Address - Street 2:
Practice Address - City:CEDAR CREST
Practice Address - State:NM
Practice Address - Zip Code:87008-0966
Practice Address - Country:US
Practice Address - Phone:505-980-7856
Practice Address - Fax:505-281-0867
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM196225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist