Healthcare Provider Details

I. General information

NPI: 1114163599
Provider Name (Legal Business Name): GTL PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 W CORTARO FARMS RD STE 145
TUCSON AZ
85742-8683
US

IV. Provider business mailing address

3605 W CORTARO FARMS RD STE 145
TUCSON AZ
85742-8683
US

V. Phone/Fax

Practice location:
  • Phone: 520-579-2424
  • Fax: 520-579-2426
Mailing address:
  • Phone: 520-579-2424
  • Fax: 520-579-2426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number7387
License Number StateAZ

VIII. Authorized Official

Name: DR. CHRISTINA MAE KESZLER
Title or Position: DR. OF CHIROPRACTIC
Credential: BSC. DC
Phone: 520-579-2424