| Doctor Name: | MR. JEREMY A KILLEN |
| NPI Number: | 1164449872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 5075 |
| Business Practice Address: | 11111 N Scottsdale Rd Ste 125 Scottsdale, AZ - 852546701 |
| Business Phone Number: | 4805968772 |
| Business Fax Number: | 4809981180 |
| Mailing Address: | 4257 E Morrow Dr, PHOENIX |
| State: | AZ |
| Postal Code: | 850503744 |
| Phone Number: | 4805968772 |
| Fax Number: | 4809981180 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |