Individual
KELLY ANNE FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6200 S MCCLINTOCK DR STE 115, TEMPE, AZ 85283-3449
(480) 730-0501
Mailing address
2700 N HAYDEN RD APT 3046, SCOTTSDALE, AZ 85257-1756
(919) 352-8544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034324
AZ
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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