Provider Demographics
NPI:1952780744
Name:MCINTOSH, BRITTANY DAWN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:DAWN
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 SAN ANTONIO DR NE UNIT 1703
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4141
Mailing Address - Country:US
Mailing Address - Phone:505-274-2356
Mailing Address - Fax:
Practice Address - Street 1:3101 MENAUL BLVD NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1872
Practice Address - Country:US
Practice Address - Phone:505-842-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMPT-2024-0005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist