Organization
KC'S PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY ALLEN HALCOMB PT (OWNER)
(602) 237-5047
Entity
Organization
Contact information
Practice address
20612 N CAVE CREEK RD # F151, PHOENIX, AZ 85024-4440
(602) 237-5047
(602) 237-5522
Mailing address
20612 N CAVE CREEK RD # F151, PHOENIX, AZ 85024-4440
(602) 237-5047
(602) 237-5522
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
AZ3238
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920795
—
AZ
Enumeration date
07/01/2006
Last updated
02/15/2008
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