Individual
KAIYA MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1937 W TOMBSTONE TRL, PHOENIX, AZ 85085-1712
(602) 327-0125
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
06/21/2024
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