Provider Demographics
NPI:1710389481
Name:REX, APRIL D (DPT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:D
Last Name:REX
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2351 INDIAN WELLS RD
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-4607
Mailing Address - Country:US
Mailing Address - Phone:413-241-7486
Mailing Address - Fax:413-339-3978
Practice Address - Street 1:2351 INDIAN WELLS RD
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-4607
Practice Address - Country:US
Practice Address - Phone:413-241-7486
Practice Address - Fax:413-339-3978
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21359225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA21359OtherSTATE ISSUED PT LICENSE