Individual
KATHY A DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5171 CUB LAKE RD, SUITE C 360, SHOW LOW, AZ 85901-7888
(928) 537-0248
(928) 537-0251
Mailing address
5171 CUB LAKE RD, SUITE C 360, SHOW LOW, AZ 85901-7888
(928) 537-0248
(928) 537-0251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8488PT
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8488PT
AZ PT LICENSE
AZ
Enumeration date
12/01/2009
Last updated
12/01/2009
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