Kevin Joseph Granger in Albuquerque - Physical Therapy Assistant

Kevin Joseph Granger - NPI 1023148863

Kevin Joseph Granger is a Physical Therapy Assistant in Albuquerque, New Mexico. Kevin Joseph Granger practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kevin Joseph Granger is 1023148863. The last update date is 2007-07-08.

Kevin Joseph Granger's current location address is 4308 Carlisle Blvd, Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058280232. The mailing address for Kevin Joseph Granger is 4308 Carlisle Blvd, Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Joseph Granger
Address 4308 Carlisle Blvd, Ne, Albuquerque, New Mexico
Phone Number 5058280232
Fax Number
Sole Proprietor N
Credentials P.T. A.

NPI Number Detail

NPI Number 1023148863
Provider Enumeration Date 2007-03-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4308 Carlisle Blvd, Ne
City Albuquerque
State New Mexico (NM)
Post Code 87107
Phone Number 5058280232
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No A-160
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A-160 NM PHYSICAL THERAPIST ASST

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FAQs about Kevin Joseph Granger

What is the unique 10-digit identification code issued to Kevin Joseph Granger by the Centers for Medicare & Medicaid Services?

The Kevin Joseph Granger has been assigned the NPI (National Provider Identifier) 1023148863 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Kevin Joseph Granger's facilities are geographically located?

The facilities of Kevin Joseph Granger are physically situated at the following location: 4308 Carlisle Blvd, Ne, Albuquerque, NM, 87107.

What is Kevin Joseph Granger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kevin Joseph Granger is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.

When did the Kevin Joseph Granger receive its 1023148863?

The Kevin Joseph Granger was issued its 1023148863 on 2007-03-07, which is the date when the organization was assigned this unique identifier.

As of what date were the Kevin Joseph Granger's details last updated?

The information pertaining to the Kevin Joseph Granger, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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