Individual
MR. LEO DARCUS KAECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2929 COORS BLVD NW # 100, ALBUQUERQUE, NM 87120-1173
(470) 522-8589
Mailing address
49 CAMINO SUR DEL LLANO QUEMADO, RANCHOS DE TAOS, NM 87557-9789
(470) 522-8589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1282
NM
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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