Individual
DR. NATHAN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3330 N 2ND ST STE 401, PHOENIX, AZ 85012-2371
(602) 606-9619
Mailing address
PO BOX 2253, PHOENIX, AZ 85002-2253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157792
—
AZ
Enumeration date
12/13/2022
Last updated
01/22/2023
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