Provider Demographics
NPI:1801899638
Name:ACCESSORIES FOR PERSONAL MOBILITY
Entity type:Organization
Organization Name:ACCESSORIES FOR PERSONAL MOBILITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:GILES
Authorized Official - Last Name:KYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-947-5727
Mailing Address - Street 1:3007 N 73RD ST
Mailing Address - Street 2:STE A
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7203
Mailing Address - Country:US
Mailing Address - Phone:480-947-5727
Mailing Address - Fax:480-947-1293
Practice Address - Street 1:3007 N 73RD ST
Practice Address - Street 2:STE A
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7203
Practice Address - Country:US
Practice Address - Phone:480-947-5727
Practice Address - Fax:480-947-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0323600001Medicare ID - Type Unspecified