NPI 1639987308 · live from the CMS NPI Registry
Shayla Alvarez
Physical Therapist in Glendale, AZ. National Provider Identifier 1639987308, active.
NPI record
| NPI | 1639987308 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 18301 N 79th Ave, Glendale, AZ 85308 |
| Practice phone | 623-486-3333 |
| Mailing address | 7149 W Cottontail Ln, Peoria, AZ 85383 |
| Enumerated | December 26, 2024 |
| Last updated | December 26, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | LPT-033798 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.