Individual
RICKY ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1475 N GRANITE REEF RD, SCOTTSDALE, AZ 85257-3919
(480) 990-1904
Mailing address
16682 N WEST POINT PKWY APT 105, SURPRISE, AZ 85374-4033
(480) 616-7582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10325A
AZ
225700000X
Massage Therapist
MT-24845
AZ
Other
Enumeration date
06/06/2013
Last updated
02/12/2023
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