Provider Demographics
NPI:1386217008
Name:ALHAJRI, NAYLA KHALIFA (PT)
Entity Type:Individual
Prefix:
First Name:NAYLA
Middle Name:KHALIFA
Last Name:ALHAJRI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 E BESHOAR DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1699
Mailing Address - Country:US
Mailing Address - Phone:719-242-1110
Mailing Address - Fax:
Practice Address - Street 1:4117 N ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-2009
Practice Address - Country:US
Practice Address - Phone:719-545-0788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0017635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist