Individual
KENZIE FAUSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8419 E BASELINE RD STE 105, MESA, AZ 85209-4380
(480) 726-1818
Mailing address
3530 S VAL VISTA DR STE 102, GILBERT, AZ 85297-7319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31840
AZ
Other
Enumeration date
06/17/2021
Last updated
07/02/2024
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