Individual
MISS ERICA LYNN KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
MUSTANG ROAD, 1 MILE NORTH OF RT 264, SAINT MICHAELS, AZ 86511-0100
(928) 871-2822
(928) 871-2837
Mailing address
PO BOX 100, SAINT MICHAELS, AZ 86511-0100
(928) 871-2822
(928) 871-2837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7806
AZ
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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