Individual
DEAN F KAEHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, CSST
Contact information
Practice address
1605 MURIEL ST NE, ALBUQUERQUE, NM 87112-4440
(505) 417-4338
Mailing address
1605 MURIEL ST NE, ALBUQUERQUE, NM 87112-4440
(505) 417-4338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0698
SD
225200000X
Physical Therapy Assistant
Primary
A-0783
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0783
NEW MEXICO PHYSICAL THERAPY BOARD
NM
Enumeration date
02/06/2015
Last updated
06/22/2023
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