Provider Demographics
NPI:1174844039
Name:ARCHODAKIS, ANDREAS (PT, DPT,GCS)
Entity Type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:
Last Name:ARCHODAKIS
Suffix:
Gender:M
Credentials:PT, DPT,GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 N DREAMY DRAW DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4669
Mailing Address - Country:US
Mailing Address - Phone:602-266-9971
Mailing Address - Fax:602-266-9968
Practice Address - Street 1:7500 N DREAMY DRAW DR STE 200
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4669
Practice Address - Country:US
Practice Address - Phone:602-266-9971
Practice Address - Fax:602-266-9968
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT142812251X0800X
AZ9220225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic