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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRETT QUALLS, PT

Active Sole Proprietor

BRETT QUALLS, PT is a Physical Therapy Assistant healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1215105630 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE HAVASU CITY, AZ

Registration Details

NPI Number
1215105630
Provider Type
Individual
Gender
Male
NPI Issued
Feb 19, 2008 (18.478713251438 yrs)
Last Updated
Mar 25, 2017
Licenses
34485 (CA)
2594 (NV)
9575 (AZ)
Sole Proprietor
Yes

Practice Information

Address
191 SWANSON AVE
#102
LAKE HAVASU CITY, AZ, 864036699
Browse AZ providers · Browse ZIP 86403
Phone
9288557880
Fax
9288557881
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAKE HAVASU CITY, AZ

Name Credential NPI
MR. JOHN C TWOMEY P.T. 1245295294
MRS. STACY BECK P.T. 1194781542
ELIZABETH L MARR P.T., PH.D.,D.P.T. 1588695670
MICHELLE FORD SCHULZ P.T. 1376562363
ROXANNE JEAN CEDOR P.T., DPT 1366466237
TOM D BENNETCH PT 1174638084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.