Organization
KOEHLER PHYSIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KOEHLER DO (OWNER)
(505) 727-4725
Entity
Organization
Contact information
Practice address
7000 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4313
(505) 344-9478
Mailing address
PO BOX 6103, ALBUQUERQUE, NM 87197-6103
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
12/03/2024
Last updated
07/01/2025
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