Individual
ALEX FEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
200 E WILCOX DR, SIERRA VISTA, AZ 85635-2526
(801) 318-6891
Mailing address
200 E WILCOX DR, SIERRA VISTA, AZ 85635-2526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
31449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31449
AZ STATE BOARD OF PHYSICAL THERAPY
—
Enumeration date
08/26/2020
Last updated
08/26/2020
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