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General NPI Number Information
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NPI Number | 1093180127
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Entity Type | Organization
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Legal Business Name | NORTHERN ARIZONA PHYSICAL THERAPY ASSOCIATES
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1707 E ANDY DEVINE AVE
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City | KINGMAN
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State | AZ
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Zip | 86401-6255
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Country | US
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Telephone | 928-440-6880
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Fax | 928-440-6879
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Provider Business Mailing Address
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Address Line | 1707 E ANDY DEVINE AVE
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City | KINGMAN
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State | AZ
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Zip | 86401-6255
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Country | US
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Telephone | 928-440-6880
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Fax | 928-440-6879
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER RENO
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Credential | DPT
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Telephone | 928-440-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 10984
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License Number State | AZ
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