Doctor Name: | DR. JACQUELINE KINLEY REA |
NPI Number: | 1710219639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 3710 |
Business Practice Address: | 333 W Cordova Rd Suite 100 Santa Fe, NM - 875051850 |
Business Phone Number: | 5059849101 |
Business Fax Number: | 5059848998 |
Mailing Address: | 333 W Cordova Rd, Suite 100 SANTA FE |
State: | NM |
Postal Code: | 875051850 |
Phone Number: | 5059849101 |
Fax Number: | 5059848998 |
NPI Enumeration Date: | 02/02/2010 |
NPI Last Update Date: | 02/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3710 |
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 |