Individual provider · Type 1 NPI

Mary Kay Ingham, PT

Pediatric Physical Therapist · Albuquerque, NM

NPI number 1396326302 Active

Practice location

2301 Yale Blvd SE Ste A3
Albuquerque, NM 87106-4350

Fax (855) 254-6287

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT334 (NM)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1396326302

Mary Kay Ingham, PT's National Provider Identifier is 1396326302, issued on Apr 20, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 20, 2021.