NPI 1104566439

Austin Allred Macgillivray

Practitioner Physical Therapy Assistant Chandler, AZ

Practice location

Address: 3180 S Gilbert Rd, Chandler, AZ 85286-5105
Phone: (408) 773-7778
Mailing address: 3180 S Gilbert Rd STE 5, Chandler, AZ 85286-5105

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA-010522 (AZ)

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Registry record

NPI: 1104566439
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2022
Record last updated: 1 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.