Individual
MICHAEL CHADWICK WAITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15905 S 46TH ST STE 140, PHOENIX, AZ 85048-2206
(602) 228-4379
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7434
AZ
Other
Enumeration date
04/10/2007
Last updated
05/04/2023
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