Kevin Joseph Granger
Physical Therapy Assistant
4308 Carlisle Blvd, Ne Suite 209
Albuquerque
, New Mexico 87107
Kevin Joseph Granger
Physical Therapy Assistant
4308 Carlisle Blvd, Ne Suite 209
Albuquerque
, New Mexico 87107
(505) 261-5943
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Kevin Joseph Granger
- 7 Juniper Pl
- Los Lunas, NM
- Zip : 87031-5781
- Phone : (505) 261-5943
Second Address
- Kevin Joseph Granger
- 4308 Carlisle Blvd, Ne Suite 209
- Albuquerque, NM
- Zip : 87107
- Phone : (505) 828-0232
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A-160 | NM |
National Provider Identifier
| NPI | 1023148863 |
|---|---|
| Provider Name | Kevin Joseph Granger |
| First Address | Los Lunas, NM 87031-5781 |
| Second Address | Albuquerque, NM 87107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A-160 | PHYSICAL THERAPIST ASST (01) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.