Individual
MS. KATHLEEN ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4600 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1210
(505) 727-4628
(505) 727-9515
Mailing address
318 LA VETA DR., APT. 3, ALBUQUERQUE, NM 87108
(505) 319-5328
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5414
NM
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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