Provider Demographics
NPI:1730511130
Name:RIEBLI, KRISTA LEIGH (DPT)
Entity type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:LEIGH
Last Name:RIEBLI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5508 AVENIDA CUESTA NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-6721
Mailing Address - Country:US
Mailing Address - Phone:505-793-6041
Mailing Address - Fax:
Practice Address - Street 1:6700 JEFFERSON ST NE BLDG E
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4393
Practice Address - Country:US
Practice Address - Phone:505-948-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM43342251X0800X
NM52402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic