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Individual

ALYSSA KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
Mailing address
81501 BISSEL ST, SIERRA VISTA, AZ 85613
(520) 533-7655

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017913
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/05/2020
Last updated
05/01/2025
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