Doctor Name: | RACHEL JOHANSEN |
NPI Number: | 1073914958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 4497 |
Business Practice Address: | 6330 Riverside Plaza Ln Nw Ste 150 Albuquerque, NM - 871201803 |
Business Phone Number: | 5053127930 |
Business Fax Number: | 5057172818 |
Mailing Address: | 6330 Riverside Plaza Ln Nw Ste 150, ALBUQUERQUE |
State: | NM |
Postal Code: | 871201803 |
Phone Number: | 5053127930 |
Fax Number: | 5057172818 |
NPI Enumeration Date: | 09/10/2014 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4497 |
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 |