Individual
KYLIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3050 N LITCHFIELD RD STE 100, GOODYEAR, AZ 85395-7805
(623) 935-5505
(623) 935-5551
Mailing address
3050 N LITCHFIELD RD STE 100, GOODYEAR, AZ 85395-7805
(623) 935-5505
(623) 935-5551
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13152
AZ BOARD OF PHYSICAL THERAPY
AZ
Enumeration date
08/08/2017
Last updated
07/21/2022
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