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

GORDON HENRIKSEN

Active

GORDON HENRIKSEN is a Physical Therapy Assistant healthcare provider located in AZTEC, New Mexico. NPI 1386916583 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · AZTEC, NM

Registration Details

NPI Number
1386916583
Provider Type
Individual
Gender
Male
NPI Issued
Feb 2, 2012 (14.527419163678 yrs)
Last Updated
Feb 2, 2012
License
2498 (NM)

Practice Information

Address
1607 W AZTEC BLVD
AZTEC, NM, 874101805
Browse NM providers · Browse ZIP 87410
Phone
5053343695
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in AZTEC, NM

Name Credential NPI
MR. SID MOSIMAN PT 1871667089
MARGARET IRENE GORES PT 1013049287
MATTHEW VIDAL FERNANDEZ PT 1851001077
CARSON JAY COLLINS 1821953324
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.