Healthcare Provider Details
I. General information
NPI: 1912899196
Provider Name (Legal Business Name): ALEXANDRA KAE HARRINGTON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2025
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3850 W HAPPY VALLEY RD STE 147&149
GLENDALE AZ
85310-3280
US
IV. Provider business mailing address
8645 W PARADISE DR
PEORIA AZ
85345-8181
US
V. Phone/Fax
- Phone: 623-322-8925
- Fax:
- Phone: 515-639-1144
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: