Geoffrey Shupp
Physical Therapy Assistant in Phoenix, AZ. Individual provider (NPI-1).
NPI number1952829574
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1952829574
- Entity type
- Individual (NPI-1)
- Name
- Geoffrey Shupp
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 001846 | CT | Yes |
Practice location
7540 N 19th Ave Ste 200Phoenix, AZ 85021
Phone 602-324-6500
Mailing address
7540 N 19th Ave Ste 200Phoenix, AZ 85021
Phone 602-324-6500
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All 310 Physical Therapy Assistant providers in Phoenix · All 44,202 providers in Phoenix
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