Doctor Name: | KELLEY KRENGIEL |
NPI Number: | 1659719805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 8602588-2401 |
Business Practice Address: | 160 Hospital Dr Raton, NM - 877402002 |
Business Phone Number: | 5754450111 |
Business Fax Number: | 5754450112 |
Mailing Address: | 818 New Mexico Ave, LAS VEGAS |
State: | NM |
Postal Code: | 877013244 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/10/2013 |
NPI Last Update Date: | 06/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8602588-2401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
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 |