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NAQUITA AHERN DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114447653

Individual Registrant:
 NAQUITA  AHERN DPT
Gender: F
Sole Proprietor

Location and contact information for practice:
501 N NAVAJO RD  PAGE, AZ 86040 US
Tel: 928-645-0155  Fax: --

Contact information for business:
PO BOX 312  KANAB, UT 84741-0312 US
Tel: 801-897-7857  Fax: --

Registration Information:
NPI: 1114447653
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AZ13104
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
MTPTP-PT-LIC-7712

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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