NPI 1033705058

Jonathan Christian Benavidez, PTA

Practitioner Physical Therapy Assistant Albuquerque, NM

Practice location

Address: 8820 Horizon Blvd NE, Albuquerque, NM 87113-1689
Phone: (505) 998-1551
Mailing address: 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA1531 (NM)

Other Physical Therapy Assistant providers in New Mexico →

Registry record

NPI: 1033705058
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2020
Record last updated: 14 Dec 2020

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.