Doctor Name: | KELLY S CHAVEZ-ALLEN |
NPI Number: | 1407809569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5559 |
Business Practice Address: | 4930 S Ash Ave Suite 102 Tempe, AZ - 852826773 |
Business Phone Number: | 4808384478 |
Business Fax Number: | 4808387839 |
Mailing Address: | 3830 E Thunderhill Pl, PHOENIX |
State: | AZ |
Postal Code: | 850446678 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5559 |
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 |