Organization
BALANCED PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEL ESCH PT (OWNER/PT)
(505) 485-7468
Entity
Organization
Contact information
Practice address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
(505) 821-3831
(505) 212-0786
Mailing address
7849 TRAMWAY BLVD NE STE A, ALBUQUERQUE, NM 87122-2529
(505) 821-3831
(505) 212-0786
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3845
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18572723
—
NM
05
—
21753750
—
NM
05
—
55507239
—
NM
05
—
63127296
—
NM
05
—
83939229
—
NM
05
—
84470011
—
NM
05
—
86559737
—
NM
05
—
90075285
—
NM
05
—
9979590
—
NM
Enumeration date
05/16/2015
Last updated
05/24/2022
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