Provider Demographics
NPI:1437788932
Name:KAISER, AUSTIN MONROE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:MONROE
Last Name:KAISER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9971 E SPEEDWAY BLVD UNIT 19105
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-2210
Mailing Address - Country:US
Mailing Address - Phone:480-322-0177
Mailing Address - Fax:
Practice Address - Street 1:5020 E GLENN ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1214
Practice Address - Country:US
Practice Address - Phone:520-347-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2021-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist