Provider Demographics
NPI:1821269192
Name:DOYLE, VALERIE K (PT)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:K
Last Name:DOYLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:690 N COFCO CENTER CT
Mailing Address - Street 2:SUITE 260
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6462
Mailing Address - Country:US
Mailing Address - Phone:602-279-6905
Mailing Address - Fax:602-279-6934
Practice Address - Street 1:1231 WILLOW CREEK RD
Practice Address - Street 2:SUITE B
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1404
Practice Address - Country:US
Practice Address - Phone:928-443-1120
Practice Address - Fax:928-443-1123
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ38012251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ321743Medicaid
AZ1124187406Medicare NSC
AZ1063627677Medicare NSC
AZ1427117704Medicare NSC
AZ1972718583Medicare NSC