Individual
KYLIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308
(623) 537-6000
(623) 537-6017
Mailing address
416 1/2 S LEROUX ST, FLAGSTAFF, AZ 86001-5632
(480) 720-0557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6875
LICENSE #
AZ
Enumeration date
08/25/2006
Last updated
08/09/2018
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