Healthcare Provider Details

I. General information

NPI: 1962942482
Provider Name (Legal Business Name): KHRISTIAN MCGINLEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KHRISTIAN MORRELL DPT

II. Dates (important events)

Enumeration Date: 03/02/2017
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1616 N LITCHFIELD RD STE 115
GOODYEAR AZ
85395-1278
US

IV. Provider business mailing address

9097 E DESERT COVE AVE STE 110
SCOTTSDALE AZ
85260-6276
US

V. Phone/Fax

Practice location:
  • Phone: 623-935-0734
  • Fax: 623-935-0934
Mailing address:
  • Phone: 480-551-4967
  • Fax: 480-860-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: