Provider Demographics
NPI:1124320684
Name:ARNOLD, TONETTE
Entity type:Individual
Prefix:
First Name:TONETTE
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2162 STARLIGHT CT
Mailing Address - Street 2:APT. # B
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-3366
Mailing Address - Country:US
Mailing Address - Phone:575-437-5345
Mailing Address - Fax:575-437-5345
Practice Address - Street 1:700 1ST ST
Practice Address - Street 2:SUITE 713-A
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6527
Practice Address - Country:US
Practice Address - Phone:575-442-3861
Practice Address - Fax:575-437-5345
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5652172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist