Individual
ALEXIS ANN NYSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014-2719
(602) 393-0520
Mailing address
7810 N 14TH PL APT 2037, PHOENIX, AZ 85020-4315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32488
AZ
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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