Gregory Goldblatt, MPT, PT
Physical Therapist, Geriatrics in Las Cruces, NM. Individual provider (NPI-1).
NPI number1790780385
StatusActive
Last updated in NPPESMar 10, 2022
Details
- NPI
- 1790780385
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory Goldblatt
- Credential
- MPT, PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2005
- Certification date
- Mar 10, 2022
- Last updated
- Mar 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251G0304X | Physical Therapist, Geriatrics | PT1592 | NM | Yes |
| 2251G0304X | Physical Therapist, Geriatrics | 1592 | NM |
Practice location
1090 Med Park Dr.Las Cruces, NM 88005-3236
Phone 575-523-7243 · Fax 575-525-5641
Mailing address
301 Perkins Dr.Ste C
Las Cruces, NM 88005-3248
Phone 575-523-7243 · Fax 575-525-5641
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