Individual
MICHELE L GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
20199 N 75TH AVE, GLENDALE, AZ 85308-8807
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1221
AZ
Other
Enumeration date
11/22/2005
Last updated
10/20/2020
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