Mr. Robert Fred Bennecke JR.
Kinesiotherapist
1501 San Pedro Se
Albuquerque
, New Mexico 87108
Mr. Robert Fred Bennecke JR.
Kinesiotherapist
1501 San Pedro Se
Albuquerque
, New Mexico 87108
(505) 256-5704
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Mr. Robert Fred Bennecke JR.
- Po Box 627
- Sandia Park, NM
- Zip : 87047
- Fax : (505) 256-5704
- Phone : (505) 286-0169
Second Address
- Mr. Robert Fred Bennecke JR.
- 1501 San Pedro Se
- Albuquerque, NM
- Zip : 87108
- Fax : (505) 256-5704
- Phone : (505) 265-1711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist |
National Provider Identifier
| NPI | 1417909300 |
|---|---|
| Provider Name | Mr. Robert Fred Bennecke JR. |
| First Address | Sandia Park, NM 87047 |
| Second Address | Albuquerque, NM 87108 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 08/07/2007 |
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.