Individual
KEYLA MACHELL BRIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
34409 N LEVI CT, SAN TAN VALLEY, AZ 85142-4474
(406) 390-2543
Mailing address
34409 N LEVI CT, SAN TAN VALLEY, AZ 85142-4474
(406) 390-2543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11808PT
AZ
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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