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

BRADFIELD REVELO

Active Sole Proprietor

BRADFIELD REVELO is a Physical Therapy Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1083098503 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ALBUQUERQUE, NM

Registration Details

NPI Number
1083098503
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2015 (11.086756827778 yrs)
Last Updated
Dec 26, 2024
Licenses
R56456 (NM)
4548 (NM)
Sole Proprietor
Yes

Practice Information

Address
7128 VIGO AVE SW
ALBUQUERQUE, NM, 871215460
Browse NM providers · Browse ZIP 87121
Phone
5052745170
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ALBUQUERQUE, NM

Name Credential NPI
MR. BARRY SCOTT MICHAELSON MPT 1528066883
LINDA KEAHEY-OBERDORFER PT 1992791784
MRS. JUDI ANN KIL P.T. 1942282678
JEFFREY M KLOER P.T. 1043298573
TONY L RUSK P.T. 1689652117
RICK S MURDOCH PT 1760461479
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.