Healthcare Provider Details

I. General information

NPI: 1588032130
Provider Name (Legal Business Name): SENSE-ABLE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2015
Last Update Date: 09/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 BELLAMAH AVE NW SUITE 1103
ALBUQUERQUE NM
87104-2207
US

IV. Provider business mailing address

3017 CAMINO DE LA SIERRA NE
ALBUQUERQUE NM
87111-5601
US

V. Phone/Fax

Practice location:
  • Phone: 505-459-2180
  • Fax:
Mailing address:
  • Phone: 505-459-2180
  • Fax: 505-212-0772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2350
License Number StateNM

VIII. Authorized Official

Name: KRISTINA M KEENAN
Title or Position: MANAGER AND OWNER
Credential: MOTR/L
Phone: 505-459-2180