Individual
KIRK JAMESON SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
1021 W 23RD ST, YUMA, AZ 85364-8347
(928) 782-5260
(928) 782-0383
Mailing address
PO BOX 5553, YUMA, AZ 85366-5553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8680
AZ
Other
Enumeration date
10/01/2009
Last updated
11/05/2013
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