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NPI Code Detail

MEDICARE: DR. ASHALEE CYR PT

MEDICARE: DR. ASHALEE CYR PT
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 Therapist30074AZ

General Provider Information

NPI Number : 1790278729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHALEE CYR PT
Provider Business Mailing Address
First Line : 44 W MONROE ST APT 1507
Second Line :
City : PHOENIX
State : AZ
Zip : 85003-4596
Country : US
Telephone Number : 920-362-1391
Fax Number :
Provider Business Practice Location Address
First Line : 4455 E CAMELBACK RD STE D155
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-2888
Country : US
Telephone Number : 602-808-8989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2018
Last Update Date : 06/15/2018

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