Individual
KYLIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5956 E PIMA ST STE 100, TUCSON, AZ 85712-4375
(520) 885-4636
(520) 885-4736
Mailing address
5956 E PIMA ST, SUITE 140, TUCSON, AZ 85712-4375
(520) 885-4636
(520) 885-4736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058785
—
AZ
01
—
11787
PHYICAL THERAPY LICENSE
AZ
Enumeration date
08/20/2015
Last updated
10/20/2017
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