Individual
KACEY JO O'BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3611 NM 528 NW STE 101, ALBUQUERQUE, NM 87114-8920
(505) 217-2826
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20250218
NM
225100000X
Physical Therapist
PTH12138
AL
225100000X
Physical Therapist
—
SC
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/12/2023
Last updated
08/06/2025
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