Brian W Fahey, Ph.D.
Mechanotherapist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1740405703
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1740405703
- Entity type
- Individual (NPI-1)
- Name
- Brian W Fahey
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | – | NM | Yes |
Practice location
1620 Cornell Dr SeAlbuquerque, NM 87106-3306
Phone 505-243-7458 · Fax 505-248-1098
Mailing address
1620 Cornell Dr SeAlbuquerque, NM 87106-3306
Phone 505-243-7458 · Fax 505-248-1098
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