Individual
MR. COREY ALLEN NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16413 N 91ST STREET #C145, SCOTTSDALE, AZ 85260
(480) 447-3262
(480) 630-2066
Mailing address
7349 N VIA PASEO DEL SUR #442, SCOTTSDALE, AZ 85258
(480) 447-3262
(480) 630-2066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002347
AZ
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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