Individual provider · NPI-1

Nils Gould

Physical Therapy Assistant · Santa Fe, NM

NPI number1124939020
StatusActive
Last updated in NPPESSep 17, 2026

Details

NPI
1124939020
Entity type
Individual (NPI-1)
Name
Mr. Nils Gould
Sex
Male
Sole proprietor
No
Enumeration date
Sep 17, 2026
Certification date
Sep 17, 2026
Last updated
Sep 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant1121NMYes

Practice location

81 Apache Ridge Rd
Santa Fe, NM 87505-8919

Phone 505-204-8123

Mailing address

81 Apache Ridge Rd
Santa Fe, NM 87505-8919

Phone 505-204-8123

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