Individual
ASHLEY NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10000 N 31ST AVE, SUITE A102, PHOENIX, AZ 85051-9582
(602) 866-0066
(602) 866-3868
Mailing address
15410 S MOUNTAIN PKWY, SUITE 112, PHOENIX, AZ 85044-6691
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10447
AZ
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
834089
—
AZ
Enumeration date
08/08/2013
Last updated
10/26/2015
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