Healthcare Provider Details

I. General information

NPI: 1962022608
Provider Name (Legal Business Name): MADELEINE R CHEE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. MADELEINE ARIENO

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 04/23/2020
Certification Date: 04/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8924 EAGLE HILLS DR NW
ALBUQUERQUE NM
87114-6418
US

IV. Provider business mailing address

8924 EAGLE HILLS DR NW
ALBUQUERQUE NM
87114-6418
US

V. Phone/Fax

Practice location:
  • Phone: 505-369-8996
  • Fax:
Mailing address:
  • Phone: 505-369-8996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT5116
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: