Individual
BRIAN MACHEMEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1505 CANDELARIA RD NW, VALLEY HS, ALBUQUERQUE, NM 87107-2750
(505) 345-9021
Mailing address
1505 CANDELARIA RD NW, VALLEY HS, ALBUQUERQUE, NM 87107-2750
(505) 345-9021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L 2378
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z 1959
—
NM
Enumeration date
03/12/2007
Last updated
07/09/2007
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