Kali Bryan, PTA
Individual provider Active NPI Physical Therapy Assistant · Artesia, NM
NPI 1477030682 · NPPES record last updated Jul 20, 2018
Key facts
- NPI
- 1477030682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA1524 (NM)
- Practice address
- 2218 W Grand Ave
Artesia, NM 88210-1624 - Phone
- (575) 748-6100
- NPI assigned
- Jul 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1524 | NM | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pecos Valley Regional Education Coop 8 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA1524 | NM | Yes |
Addresses
Primary practice location
2218 W Grand Ave
Artesia, NM 88210-1624
Mailing address
1100 Teak LN
Carlsbad, NM 88220-6621
Phone (303) 521-2396
Other providers in Artesia, NM
- Patti C Bratten
- Linda Mack Brewer
- Bridge Inc.
- Erma Briones
- Brown Drug Store Inc
- Celina Gerese Bryant
- Bulldog Emergency Physicians
- Jillana G. Burgess
- Rachel Alice Burke
- Dan Bustamante
All providers in Artesia, NM · Physical Therapy Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.