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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ENNIS KHALEQ, PT

Active Sole Proprietor

ENNIS KHALEQ, PT is a Physical Therapy Assistant healthcare provider located in DESERT HOT SPRINGS, California. NPI 1073325437 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DESERT HOT SPRINGS, CA

Registration Details

NPI Number
1073325437
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2025 (1.559035574249 yrs)
Last Updated
Jan 23, 2025
License
303179 (CA)
Sole Proprietor
Yes

Practice Information

Address
64870 LA COSTA CT
DESERT HOT SPRINGS, CA, 922401415
Browse CA providers · Browse ZIP 92240
Phone
7146053698
Fax
8662259947
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in DESERT HOT SPRINGS, CA

Name Credential NPI
BRIAN ANDREW ROATH PT, DPT 1881109833
DAVID FRANK SALAS JR. PT DPT CSCS 1750937553
RAEMAR V COLOMA 1003530262
MICHAEL ALLAN SALVANERA DPT 1689464539
KEVIN PONTONUWU PT 1750171641
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.