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NPI Code Detail

MEDICARE: ANDREW KINNEY DPT

MEDICARE: ANDREW KINNEY DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistAZ

General Provider Information

NPI Number : 1740715457
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW KINNEY DPT
Provider Business Mailing Address
First Line : 9097 E DESERT COVE AVE STE 110
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6276
Country : US
Telephone Number : 480-551-4967
Fax Number : 480-860-0356
Provider Business Practice Location Address
First Line : 2301 E YEAGER DR STE 3
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-1578
Country : US
Telephone Number : 480-351-8721
Fax Number : 480-351-8722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2017
Last Update Date : 05/01/2017

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Directions to “ ANDREW KINNEY DPT” Practice Location

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