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

NICHOLAS IENNI, PT, DPT

Active

NICHOLAS IENNI, PT, DPT is a Physical Therapy Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1578915724 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ALBUQUERQUE, NM

Registration Details

NPI Number
1578915724
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2016 (10.09263282528 yrs)
Last Updated
Mar 21, 2023
Licenses
PT2023-2062 (NM)
31586 (AZ)
3366 (NV)

Practice Information

Address
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM, 871105412
Browse NM providers · Browse ZIP 87110
Phone
5057244300
Fax
5057244384
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
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.