Organization
KINETIX SPINE AND JOINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DALE JACKSON DPT (PHYSICAL THERAPIST)
(520) 784-4997
Entity
Organization
Contact information
Practice address
10858 E SCENIC VERANDA DR, VAIL, AZ 85641-2455
(520) 313-5200
Mailing address
10858 E SCENIC VERANDA DR, VAIL, AZ 85641-2455
(520) 313-5200
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8158
AZ
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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