Kylee Nusbaum, PTA
NPI #1093082836 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1093082836
- Entity Type
- Individual
- Name
- Kylee Nusbaum, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 22, 2011
- Last Updated
- Nov 22, 2011
Practice Location
- Address
- 1948 MESQUITE AVE
- Address 2
- SUITE 101
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86403-5777
- Phone
- (928) 854-4776
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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