Individual
JOHN BRET WALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5211 E MARILYN RD, SCOTTSDALE, AZ 85254
(913) 269-8859
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-012713
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37201013
BCBS
MO
Enumeration date
06/14/2006
Last updated
06/19/2024
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