Individual
KALI RAE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4725
Mailing address
1205 NEW CANOPY CT, SUMMERVILLE, SC 29486-7975
(843) 300-8887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.12343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-2025-0036
NM LICENSE
NM
Enumeration date
05/22/2024
Last updated
03/18/2025
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