NPI 1386916583

Gordon Henriksen

Practitioner Physical Therapist Aztec, NM

Practice location

Address: 1607 W Aztec Blvd, Aztec, NM 87410-1805
Phone: (505) 334-3695
Mailing address: 2006 Eastlawn Ave, Durango, CO 81301-4835

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2498 (NM)

Other Physical Therapist providers in New Mexico →

Registry record

NPI: 1386916583
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2012
Record last updated: 2 Feb 2012

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.