Provider Demographics
NPI:1225306806
Name:DOLL, KIRA M (DPT)
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:M
Last Name:DOLL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:6970 N, ORACLE RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704
Mailing Address - Country:US
Mailing Address - Phone:520-219-1512
Mailing Address - Fax:520-219-5827
Practice Address - Street 1:6970 N ORACLE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4237
Practice Address - Country:US
Practice Address - Phone:520-219-1512
Practice Address - Fax:520-219-5827
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2016-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY034487225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist