Provider Demographics
NPI:1972676864
Name:MORGENSTERN, VALERIE WITTMEIER (MS, DPT, CEEAA)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:WITTMEIER
Last Name:MORGENSTERN
Suffix:
Gender:F
Credentials:MS, DPT, CEEAA
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:CELESTE
Other - Last Name:WITTMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:3408 CALLEJON NORTE
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-9228
Mailing Address - Country:US
Mailing Address - Phone:505-469-5756
Mailing Address - Fax:
Practice Address - Street 1:404 BRUNN SCHOOL RD STE D
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-1102
Practice Address - Country:US
Practice Address - Phone:505-983-0670
Practice Address - Fax:505-983-0118
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4258225100000X
225100000X
CO6367225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC807928Medicare PIN