Individual
KAELEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CSRS
Contact information
Practice address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(575) 998-1551
Mailing address
8820 HORIZON BLVD NE, ALBUQUERQUE, NM 87113-1689
(505) 998-1551
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PTA1184
NM
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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