Individual
PETER M MYKUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
21811 N SCOTTSDALE RD STE 120, SCOTTSDALE, AZ 85255-7448
(480) 513-6854
(480) 513-6897
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 689-5534
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24146
MA
225100000X
Physical Therapist
26114
MD
225100000X
Physical Therapist
Primary
LPT-32120
AZ
Other
Enumeration date
08/16/2016
Last updated
04/05/2022
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