Healthcare Provider Details

I. General information

NPI: 1992875645
Provider Name (Legal Business Name): WILLIAM HUFFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 CANDELARIA RD NE
ALBUQUERQUE NM
87107-1908
US

IV. Provider business mailing address

HC 66 BOX 531
MOUNTAINAIR NM
87036-9414
US

V. Phone/Fax

Practice location:
  • Phone: 505-872-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: