Individual
MARK WINCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1500 S DOBSON RD STE 201, MESA, AZ 85202-4724
(866) 974-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 474-3431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033408
AZ
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209448
—
AZ
Enumeration date
12/11/2023
Last updated
08/11/2025
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