Individual
KAYLENE BARRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3131 WESTERN AVE, KINGMAN, AZ 86401-0951
(928) 718-0718
Mailing address
2942 RAWHIDE DR, KINGMAN, AZ 86401-7820
(928) 757-1745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1999
ID
225100000X
Physical Therapist
Primary
2556
AZ
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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