Individual
BETTY L NAEGELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1869
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2751
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86080015085259A970
TRIWEST
AZ
05
—
891368
—
AZ
Enumeration date
12/05/2005
Last updated
01/02/2013
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