Individual
KACIE CHRISTINE LYDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8725 S KYRENE RD, TEMPE, AZ 85284-2116
(480) 756-8617
(480) 820-9909
Mailing address
15410 S MOUNTAIN PKWY, 112, PHOENIX, AZ 85044-6691
(480) 689-5520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9860
AZ
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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