| Gordon Henriksen, | |
|
1607 W Aztec Blvd, Aztec, NM 87410-1805 | |
| (505) 334-3695 | |
| Not Available |
| Full Name | Gordon Henriksen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1607 W Aztec Blvd, Aztec, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386916583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2498 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Henriksen, 2006 Eastlawn Ave, Durango, CO 81301-4835 Ph: () - | Gordon Henriksen, 1607 W Aztec Blvd, Aztec, NM 87410-1805 Ph: (505) 334-3695 |
Margaret Irene Gores, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 N Main Ave, Aztec, NM 87410 Phone: 505-334-9616 Fax: 505-334-7343 | |
Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 505 N Main Ave, Aztec, NM 87410 Phone: 505-334-9616 Fax: 505-334-7343 | |
Matthew Vidal Fernandez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 505 N Main Ave, Aztec, NM 87410 Phone: 505-334-9616 | |
Mr. Sid Mosiman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 604 S Rio Grande Ave, Aztec, NM 87410 Phone: 505-334-9616 Fax: 505-334-7343 |