Doctor Name: | KELLY MARQUART |
NPI Number: | 1043688781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 3097 |
Business Practice Address: | 6400 Jefferson St Ne #102 Albuquerque, NM - 871093470 |
Business Phone Number: | 5053442922 |
Business Fax Number: | 5052145030 |
Mailing Address: | 6400 Jefferson St Ne, #102 ALBUQUERQUE |
State: | NM |
Postal Code: | 871093470 |
Phone Number: | 5053442922 |
Fax Number: | 5052145030 |
NPI Enumeration Date: | 09/11/2015 |
NPI Last Update Date: | 09/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |