MR. Ted A. Mize I, P.T.

NPI #1972697159 in Prescott, Arizona

Provider Information

NPI Number: 1972697159
Entity Type: Individual
Name: MR. Ted A. Mize I, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 500 US HIGHWAY 89 NORTH
City: Prescott
State: Arizona
ZIP Code: 86313
Phone: (928) 717-7493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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