Individual
MR. KALE R ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1334 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5067
(505) 292-3317
(505) 292-3402
Mailing address
1334 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5067
(505) 292-3317
(505) 292-3402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
937
NM
2251X0800X
Orthopedic Physical Therapist
Primary
937
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66908001
—
NM
01
—
NM00Q451
BCBS
—
Enumeration date
09/29/2005
Last updated
05/12/2008
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