Individual
MR. NATHAN SHAWN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2500 S POWER RD, #123, MESA, AZ 85209-6686
(480) 218-1344
(480) 218-1356
Mailing address
2500 S POWER RD, #123, MESA, AZ 85209-6686
(480) 218-1344
(480) 218-1356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8259
AZ
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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