| Doctor Name: | KIRK JAMESON SHORT |
| NPI Number: | 1801120209 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T., D.P.T. |
| License Number: | 8680 |
| Business Practice Address: | 1021 W 23rd St Yuma, AZ - 853648347 |
| Business Phone Number: | 9287825260 |
| Business Fax Number: | 9287820383 |
| Mailing Address: | Po Box 5553, YUMA |
| State: | AZ |
| Postal Code: | 853665553 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2009 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 8680 |
| 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 |