Individual
JAMES MIKRUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
919 12TH PL STE 11, PRESCOTT, AZ 86305-1433
(928) 632-0800
(928) 632-8505
Mailing address
13175 E HIGHWAY 169, DEWEY, AZ 86327-7372
(928) 632-0800
(928) 632-8505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501005426
MI
225100000X
Physical Therapist
Primary
6486
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915936
—
AZ
Enumeration date
05/19/2006
Last updated
07/25/2024
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