Individual
ALYSSA MEGAN KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11153R
LA
225100000X
Physical Therapist
38317
FL
225100000X
Physical Therapist
Primary
CP015215T
AZ
Other
Enumeration date
09/29/2022
Last updated
03/10/2026
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