Individual
KYLE ASHTON SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4013 E BROADWAY RD, PHOENIX, AZ 85040-8818
(602) 437-0234
Mailing address
3501 W OSBORN RD, PHOENIX, AZ 85019-4037
(602) 272-7676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30069
AZ
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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