NPI 1023148863

Kevin Joseph Granger, PTA

Practitioner Physical Therapy Assistant Albuquerque, NM

Practice location

Address: 4308 Carlisle Blvd, NE Suite 209, Albuquerque, NM 87107
Phone: (505) 828-0232
Mailing address: 7 Juniper Pl, Los Lunas, NM 87031-5781

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A-160 (NM)

Other Physical Therapy Assistant providers in New Mexico →

Registry record

NPI: 1023148863
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.