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Search › Arizona › 225100000X

Brett Qualls, PT

NPI 1215105630 · on the registry since 2008 · sole proprietor

Practice

Address
191 Swanson Ave
#102
Lake Havasu City, AZ 86403
Phone
(928) 855-7880
Fax
(928) 855-7881
Organisation at this address
Agave Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
225100000X
Licence states on file
CA, NV, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona