MRS. THEA CAROLYN KAVANAUGH
NPI 1003635517
Recreation Therapist in Las Cruces, NM

Q: What is Thea Kavanaugh's NPI number?

The NPI number for Thea Kavanaugh is 1003635517. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Q: What is Thea Kavanaugh's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

Q: When was this NPI record last updated?

The NPPES record for Thea Kavanaugh was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2024

4527 GALISTEO LOOP, LAS CRUCES, NM 88011(575) 635-9013 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Thea Carolyn Kavanaugh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. THEA CAROLYN KAVANAUGH (NPI 1003635517) is an individual recreation therapist in Las Cruces, New Mexico and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1003635517

Entity TypeIndividualFemale

Primary Taxonomy225800000X

Provider Legal NameMRS. THEA CAROLYN KAVANAUGH

Location Address4527 GALISTEO LOOPLas Cruces, NM 88011-4301

Mailing Address4527 Galisteo LoopLas Cruces, NM 88011-4301 · (575) 635-9013

Phone(575) 635-9013

Sole ProprietorYes

Enumeration DateOctober 10, 2024

NPPES CertifiedOctober 10, 2024

✔ NPI 1003635517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225800000X

Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

Also ListedHealth EducatorTaxonomy 174H00000X

4527 GALISTEO LOOP, Las Cruces, NM 88011

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REAL THERAPEUTICS, LLC

Recreation Therapist

4527 GALISTEO LOOP
LAS CRUCES, NM 88011

Doña Ana County (575) 635-9013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thea Kavanaugh's NPI number?

The NPI number for Thea Kavanaugh is 1003635517. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Thea Kavanaugh located?

Thea Kavanaugh practices at 4527 Galisteo Loop, Las Cruces, NM 88011. The listed phone number is (575) 635-9013.

What is Thea Kavanaugh's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Thea Kavanaugh was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.