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

DUSTY MATTHEW ALLRED, PTA

Active

DUSTY MATTHEW ALLRED, PTA is a Physical Medicine & Rehabilitation healthcare provider located in MARICOPA, Arizona. NPI 1841052883 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · MARICOPA, AZ

Registration Details

NPI Number
1841052883
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2024 (2.5107035462667 yrs)
Last Updated
Jan 25, 2024
License
PTA-012352 (AZ)

Practice Information

Address
21083 N JOHN WAYNE PKWY STE C104
MARICOPA, AZ, 851392961
Browse AZ providers · Browse ZIP 85139
Phone
5202337555
Primary Specialty
Physical Medicine & Rehabilitation
208100000X
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.