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NPI Code Detail

MEDICARE: ALEXIS NICOLE BERNAYS PT

MEDICARE: ALEXIS NICOLE BERNAYS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist13563AZ
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1649787136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS NICOLE BERNAYS PT
Provider Business Mailing Address
First Line : 1777 W SAINT MARYS RD
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2687
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1880 W ORANGE GROVE RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1129
Country : US
Telephone Number : 520-797-2090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 08/21/2019

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Directions to “ ALEXIS NICOLE BERNAYS PT” Practice Location

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