Individual
JEFFREY RYAN WILLENBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
13951 W GRAND AVE STE 201, SURPRISE, AZ 85374-2436
(623) 537-9730
(623) 537-9871
Mailing address
8420 W WARM SPRINGS RD # 110, LAS VEGAS, NV 89113-3624
(702) 260-6238
(702) 263-6530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2770
NV
225100000X
Physical Therapist
Primary
LPT-010749
AZ
Other
Enumeration date
11/05/2012
Last updated
07/30/2024
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