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Contact Information

KELLY M DYKSTRA, DPT
3310 E CANARY WAY
CHANDLER, AZ85286
 Phone: 480-813-1897
 Fax: 480-361-9838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KELLY M DYKSTRA · (Female)

NPI Number 1467528653
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 11/28/2006
Last updated 08/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 6132
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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