Individual
DR. TANNER DEAN HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
5723 S 30TH GLN, PHOENIX, AZ 85041-3528
(480) 544-0955
Mailing address
5723 S 30TH GLN, PHOENIX, AZ 85041-3528
(480) 544-0955
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LPT30714
AZ
225100000X
Physical Therapist
LPT-030714
AZ
Other
Enumeration date
06/17/2019
Last updated
06/10/2025
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