Mia Elizabeth Korum, ATC
Kinesiotherapist in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1164054797
StatusActive
Last updated in NPPESFeb 11, 2020
Details
- NPI
- 1164054797
- Entity type
- Individual (NPI-1)
- Name
- Mia Elizabeth Korum
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2020
- Certification date
- Feb 11, 2020
- Last updated
- Feb 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 226300000X | Kinesiotherapist | ATR-009143 | AZ | Yes |
Practice location
7355 E Thompson Peak Pkwy Apt V3008Scottsdale, AZ 85255-4479
Phone 253-432-1645
Mailing address
7355 E Thompson Peak Pkwy Apt V3008Scottsdale, AZ 85255-4479
Phone 253-432-1645
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