Individual
KIRK LEE MACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
VIBRANT CARE, 1355 E FLORENCE BLVD #137, CASA GRANDE, AZ 85122
(520) 836-7996
Mailing address
1841 E SYCAMORE RD, CASA GRANDE, AZ 85122-5432
(406) 690-7099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010161
AZ
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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