Organization
NIKAO PHYSICAL THERAPY, PLLC
Active
Organization
NIKAO PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GULLEDGE PT (MANAGING MEMBER)
(480) 524-0321
Entity
Organization
Contact information
Practice address
2121 S MILL AVE STE 209, TEMPE, AZ 85282-2136
(480) 524-0321
(480) 420-4139
Mailing address
2121 S MILL AVE STE 209, TEMPE, AZ 85282-2136
(480) 524-0321
(480) 420-4139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
06/15/2023
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