Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabriel Gonzales-Wicketts

Individual provider Physical Therapy Assistant · NPI 1083277545

Gabriel Gonzales-Wicketts is a Physical Therapy Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2019.

Licensed in
NM
In the registry since
2019

Practice location Address checks out

2929 Coors Blvd NW
Albuquerque, NM 87120-1173
Phone: (505) 836-4899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1588 (NM)

Record details

NPI number1083277545
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2019
Last updated in NPPESApril 19, 2019

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