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NPI Code Detail

MEDICARE: KAITLYN ANN EVANS

MEDICARE:   KAITLYN ANN EVANS
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 TherapistLPT-033909AZ

General Provider Information

NPI Number : 1922824739
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN ANN EVANS
Provider Business Mailing Address
First Line : 37200 N GANTZEL RD STE 260
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85140-7387
Country : US
Telephone Number : 480-690-8080
Fax Number :
Provider Business Practice Location Address
First Line : 37200 N GANTZEL RD STE 260
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85140-7387
Country : US
Telephone Number : 480-690-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2024
Last Update Date : 09/20/2025

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Directions to “ KAITLYN ANN EVANS ” Practice Location

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