Provider Demographics
NPI:1912914615
Name:SETKA, VICTORIA ELENA (PT)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ELENA
Last Name:SETKA
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 1:20403 N LAKE PLEASANT RD
Mailing Address - Street 2:SUITE 117-302
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-9707
Mailing Address - Country:US
Mailing Address - Phone:623-703-2026
Mailing Address - Fax:623-398-6842
Practice Address - Street 1:9802 W BUCKHORN TRL
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-8797
Practice Address - Country:US
Practice Address - Phone:623-572-2603
Practice Address - Fax:623-398-6842
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3650225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ109337Medicare ID - Type UnspecifiedMEDICARE PART B PROVIDER