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General NPI Number Information
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NPI Number | 1477491603
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Entity Type | Individual
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Provider Name | KRISTEN BRACCIO DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 8240 W CACTUS RD
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City | PEORIA
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State | AZ
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Zip | 85381-5231
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Country | US
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Telephone | 623-878-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 4111 N DRINKWATER BLVD APT E107
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3672
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Country | US
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Telephone | 772-353-6006
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 034666
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License Number State | AZ
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